Hellp syndrome is an atypic, severe and life threatening form of
preeclapmsia, which is usually associated with hemolysis, elevated liver
enzymes and low platelet count. Also it is very important because it causes significantly
maternal and perinatal mortality. It is known that hellp syndrome almost always
occurs after 20 weeks of gestation. But in the presence of some accompanying
diseases, hellp syndrome or severe preeclampsia can occur at earlier
gestational weeks. This may also lead to diagnostic difficulties. In this case,
we described the diagnosis and recovery period of a systemic lupus erytematosus
(SLE) patient who developed hellp syndrome at 17 weeks of gestation. Our experience takes attention that detection
of hellp syndome accompanying diseases like systemic lupus erytematosus
or acute cholecystitis can be difficult and it can occur distinctly at earlier
weeks of gestation. Also the differential diagnosis is very important in such
cases, because many diseases can mimic hellp syndrome.
Hellp sendromu, preeklampsinin atipik, şiddetli ve hayatı tehdit eden
bir formu olup genellikle hemoliz, yüksek karaciğer enzimleri ve düşük platelet
düzeyleri ile ilişkilidir. Ayrıca, belirgin maternal ve perinatal mortaliteye
de neden olduğundan önemi büyüktür. Hellp sendromunun hemen her zaman gebeliğin
20. haftadan önce meydana geldiği bilinmektedir. Fakat bazı eşlik eden
hastalıkların varlığında hellp sendromu veya şiddetli preeklampsi daha erken
gebelik haftalarında da görülebilir. Bu durum aynı zamanda tanısal zorluğa da
neden olur. Biz bu olguda, 17. Gebelik haftasında hellp sendromu gelişen bir
sistemik lupus eritematozus (SLE) hastasının tanı ve tedavi periodunu anlattık.
Çalışmamız; hellp sendromunun SLE ya da akut kolesistit gibi eşlik eden hastalıklar
varlığında tespit edilmesinin zorluğuna ve şaşırtıcı olarak erken gebelik
haftalarında meydana gelebilmesine dikkat çekmektedir. Aynı zamanda, böyle
olgularda, birçok hastalık hellp sendromunu taklit edebileceğinden ayırıcı tanı
da çok önemlidir.
Primary Language | English |
---|---|
Subjects | Health Care Sciences and Services |
Journal Section | Case Report |
Authors | |
Publication Date | January 15, 2020 |
Published in Issue | Year 2020, Volume 51, Issue 1 |
Bibtex | @case report { zktipb492975, journal = {Zeynep Kamil Tıp Bülteni}, issn = {1300-7971}, eissn = {2148-4864}, address = {}, publisher = {Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH}, year = {2020}, volume = {51}, number = {1}, pages = {46 - 48}, doi = {10.16948/zktipb.492975}, title = {EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON}, key = {cite}, author = {Cimilli Şenocak, Gamze Nur} } |
APA | Cimilli Şenocak, G. N. (2020). EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON . Zeynep Kamil Tıp Bülteni , 51 (1) , 46-48 . DOI: 10.16948/zktipb.492975 |
MLA | Cimilli Şenocak, G. N. "EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON" . Zeynep Kamil Tıp Bülteni 51 (2020 ): 46-48 <https://dergipark.org.tr/en/pub/zktipb/issue/52318/492975> |
Chicago | Cimilli Şenocak, G. N. "EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON". Zeynep Kamil Tıp Bülteni 51 (2020 ): 46-48 |
RIS | TY - JOUR T1 - EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON AU - Gamze Nur Cimilli Şenocak Y1 - 2020 PY - 2020 N1 - doi: 10.16948/zktipb.492975 DO - 10.16948/zktipb.492975 T2 - Zeynep Kamil Tıp Bülteni JF - Journal JO - JOR SP - 46 EP - 48 VL - 51 IS - 1 SN - 1300-7971-2148-4864 M3 - doi: 10.16948/zktipb.492975 UR - https://doi.org/10.16948/zktipb.492975 Y2 - 2018 ER - |
EndNote | %0 Medical Bulletin of Zeynep Kamil EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON %A Gamze Nur Cimilli Şenocak %T EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON %D 2020 %J Zeynep Kamil Tıp Bülteni %P 1300-7971-2148-4864 %V 51 %N 1 %R doi: 10.16948/zktipb.492975 %U 10.16948/zktipb.492975 |
ISNAD | Cimilli Şenocak, Gamze Nur . "EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON". Zeynep Kamil Tıp Bülteni 51 / 1 (January 2020): 46-48 . https://doi.org/10.16948/zktipb.492975 |
AMA | Cimilli Şenocak G. N. EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON. Zeynep Kamil Tıp Bülteni. 2020; 51(1): 46-48. |
Vancouver | Cimilli Şenocak G. N. EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON. Zeynep Kamil Tıp Bülteni. 2020; 51(1): 46-48. |
IEEE | G. N. Cimilli Şenocak , "EARLY ONSET HELLP SYNDROME WITH SYSTEMİC LUPUS ERYTEMATOSUS AND ACUTE CHOLECYSTİTİS ATTACK AT 17TH WEEK OF GESTATİON", Zeynep Kamil Tıp Bülteni, vol. 51, no. 1, pp. 46-48, Jan. 2020, doi:10.16948/zktipb.492975 |