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Frequency and severity of laboratory findings among imitators of preeclampsia

Frequency and severity of laboratory findings among imitators of preeclampsia
Laboratory findings HELLP syndrome AFLP TTP HUS Exacerbation of SLE
Thrombocytopenia (less than 100,000/mm3) More than 20,000 More than 50,000 20,000 or less More than 20,000 More than 50,000
Hemolysis (%) 50 to 100 15 to 20 100 100 14 to 23 in patients with APA
Anemia (%) Less than 50 Absent 100 100 14 to 23 in patients with APA
DIC (%) Less than 20 50 to 100 Rare Rare Rare
Hypoglycemia (%) Absent 50 to 100 Absent Absent Absent
VW factor multimers (%) Absent Absent 80 to 90 80 Less than 10
ADAMTS13 less than 5% (%) Absent Absent 33 to 100 Rare Rare
Impaired renal function (%) 50 90 to 100 30 100 40 to 80
LDH (international units/L) 600 or more Variable More than 1000 More than 1000 May be elevated in patients with APA and liver involvement
Elevated ammonia (%) Rare 50 Absent Absent Absent
Elevated bilirubin (%) 50 to 60 100 100 NA Less than 10
Elevated transaminases (%) 100 100 Usually mild* Usually mild* In patients with APA and liver involvement
HELLP: hemolysis, elevated liver enzymes, low platelets; AFLP: acute fatty liver of pregnancy; TTP: thrombotic thrombocytopenic purpura; HUS: hemolytic uremic syndrome; SLE: systemic lupus erythematosus; APA: antiphospholipid antibodies with or without catastrophic antiphospholipid syndrome; DIC: disseminated intravascular coagulopathy; VW: von Willebrand; ADAMTS13: von Willebrand factor-cleaving metalloprotease; LDH: lactic dehydrogenase; NR: values not reported.
* Levels less than 100 international units/L.
Reproduced with permission from: Sibai BM. Imitators of severe preeclampsia. Obstet Gynecol 2007; 109:956. Copyright © 2007 Lippincott Williams & Wilkins.
Graphic 65674 Version 13.0

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