08 November 2021: Articles
Gestational Diabetes Mellitus Complicated by Hemolysis, Elevated Liver Enzymes, and Low Platelet Count After Decreased Need for Insulin: 2 Cases
Unusual clinical course, Diagnostic / therapeutic accidents
Yoshimasa Kawarai A* , Shogo Kaneko B , Masataka Kagimoto B , Ayaka Kaneko B , Naoki Ichii B , Kaoru Kakinuma B , Koyomi Saito B , Motomasa Ihara B , Toshiyuki Kakinuma B , Michitaka Ohwada B , Hirokazu Tanaka BDOI: 10.12659/AJCR.933460
Am J Case Rep 2021; 22:e933460
Table 2. Results of biochemical blood tests in 2 patients suspected of developing HELLP/AFLP.
| Unit | Reference range | Case 24 | Case 28 | ||||
|---|---|---|---|---|---|---|---|
| 2 wk before CS | 1 wk before CS | Just before CS | 2 wk before CS | Just before CS | |||
| WBC | /μL | 6660 | 5830 | 6740 | 7780 | 10470 | |
| Hb | g/dL | 11.2–15.2 | 13.1 | 12.6 | 12.2 | 11.9 | 11.6 |
| Plt | ×10000/μL | 14.0–37.9 | 13 | 13.9 | 5.6 | 18.4 | 8.8 |
| PT | sec | 8.0–12.0 | 12.9 | 12.1 | |||
| APTT | sec | 26.0–38.0 | 27.3 | 28.7 | |||
| Fibrinogen | mg/dL | 200–400 | 539 | ||||
| AT activity | % | 80–120 | 93.2 | 82 | |||
| AST | IU/L | 8–38 | 14 | 17 | 115 | 150 | |
| ALT | IU/L | 4–44 | 19 | 27 | 146 | 149 | |
| T-Bil | mg/dL | 0.2–1.2 | 0.7 | 0.7 | 1.9 | 0.9 | |
| LDH | IU/L | 106–211 | 151 | 150 | 482 | 352 | |
| Cre | mg/dL | 0.47–0.79 | 0.57 | 0.59 | 0.63 | 0.55 | |
| BUN | mg/dL | 8.0–20.0 | 4.3 | 5.2 | 5.2 | 8.1 | |
| HELLP – hemolysis, elevated liver enzymes, and low platelet syndrome; AFLP – acute fatty liver of pregnancy; WBC – white blood cell; Hb – hemoglobin; Plt – platelet; PT – parathyroid; APTT – activated partial thromboplastin time; AT – antithrombin; AST – aspartate aminotransferase; ALT – alanine aminotransferase; T-Bil – total bilirubin; LDH – lactate dehydrogenase; Cre – creatinine; BUN – blood urea nitrogen. | |||||||