HELLP syndrome preceded by intrahepatic cholestasis of pregnancy: One serious itch

Jiska Maren Jebbink, Merit Tabbers, Gijs Afink, Ulrich Beuers, Ronald Oude Elferink, Carrie Ris-Stalpers, Joris van der Post

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We present four women with seven ongoing pregnancies. Five pregnancies were complicated by intrahepatic cholestasis of pregnancy (ICP) and severe haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome with uncommon maternal morbidity. The combination of ICP and HELLP syndrome has not previously been reported. Awareness is warranted to accurately identify this combination of pregnancy-specific diseases with severe maternal morbidity. Copyright 2014 BMJ Publishing Group. All rights reserved.
Original languageEnglish
JournalBMJ Case Reports
Publication statusPublished - 2014
Externally publishedYes

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