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BMJ Publishing Group, BMJ Case Reports, apr07 1(2014), p. bcr2013203208-bcr2013203208

DOI: 10.1136/bcr-2013-203208

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

Journal article published in 2014 by Jiska Jebbink, Merit Tabbers, Gijs Afink ORCID, Ulrich Beuers, Ronald Oude Elferink, Carrie Ris-Stalpers, Joris van der Post ORCID
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This paper is available in a repository.

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Abstract

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.