Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation

Yıl: 2020 Cilt: 51 Sayı: 1 Sayfa Aralığı: 46 - 48 Metin Dili: İngilizce DOI: 10.16948/zktipb.492975 İndeks Tarihi: 09-05-2021

Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation

Öz:
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.
Anahtar Kelime:

17. Gebelik Haftasında Akut Kolesistit Atağı ve Sistemik Lupus Eritematozus ile Birlikte Görülen Erken Başlangıçlı Hellp Sendromu

Öz:
Hellp sendromu, preeklampsinin atipik, şiddetli ve hayatıtehdit eden bir formu olup genellikle hemoliz, yüksek karaciğerenzimleri ve düşük platelet düzeyleri ile ilişkilidir. Ayrıca, belir gin maternal ve perinatal mortaliteye de neden olduğundan önemibüyüktür. Hellp sendromunun hemen her zaman gebeliğin 20. haf tadan önce meydana geldiği bilinmektedir. Fakat bazı eşlik edenhastalıkların varlığında hellp sendromu veya şiddetli preeklampsidaha erken gebelik haftalarında da görülebilir. Bu durum aynı za manda tanısal zorluğa da neden olur. Biz bu olguda, 17. Gebelikhaftasında 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 has talıklar varlığında tespit edilmesinin zorluğuna ve şaşırtıcı olarakerken gebelik haftalarında meydana gelebilmesine dikkat çekmek tedir. Aynı zamanda, böyle olgularda, birçok hastalık hellp sendro munu taklit edebileceğinden ayırıcı tanı da çok önemlidir.
Anahtar Kelime:

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APA CİMİLLİ ŞENOCAK G (2020). Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. , 46 - 48. 10.16948/zktipb.492975
Chicago CİMİLLİ ŞENOCAK Gamze Nur Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. (2020): 46 - 48. 10.16948/zktipb.492975
MLA CİMİLLİ ŞENOCAK Gamze Nur Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. , 2020, ss.46 - 48. 10.16948/zktipb.492975
AMA CİMİLLİ ŞENOCAK G Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. . 2020; 46 - 48. 10.16948/zktipb.492975
Vancouver CİMİLLİ ŞENOCAK G Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. . 2020; 46 - 48. 10.16948/zktipb.492975
IEEE CİMİLLİ ŞENOCAK G "Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation." , ss.46 - 48, 2020. 10.16948/zktipb.492975
ISNAD CİMİLLİ ŞENOCAK, Gamze Nur. "Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation". (2020), 46-48. https://doi.org/10.16948/zktipb.492975
APA CİMİLLİ ŞENOCAK G (2020). Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. Zeynep Kamil Tıp Bülteni, 51(1), 46 - 48. 10.16948/zktipb.492975
Chicago CİMİLLİ ŞENOCAK Gamze Nur Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. Zeynep Kamil Tıp Bülteni 51, no.1 (2020): 46 - 48. 10.16948/zktipb.492975
MLA CİMİLLİ ŞENOCAK Gamze Nur Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. Zeynep Kamil Tıp Bülteni, vol.51, no.1, 2020, ss.46 - 48. 10.16948/zktipb.492975
AMA CİMİLLİ ŞENOCAK G Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. Zeynep Kamil Tıp Bülteni. 2020; 51(1): 46 - 48. 10.16948/zktipb.492975
Vancouver CİMİLLİ ŞENOCAK G Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation. Zeynep Kamil Tıp Bülteni. 2020; 51(1): 46 - 48. 10.16948/zktipb.492975
IEEE CİMİLLİ ŞENOCAK G "Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation." Zeynep Kamil Tıp Bülteni, 51, ss.46 - 48, 2020. 10.16948/zktipb.492975
ISNAD CİMİLLİ ŞENOCAK, Gamze Nur. "Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation". Zeynep Kamil Tıp Bülteni 51/1 (2020), 46-48. https://doi.org/10.16948/zktipb.492975