Tuberc Respir Dis.
2005 Oct;59(4):418-422.
A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome
- Affiliations
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- 1Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea. sbhong@amc.seoul.kr
- 2Department of Obstetrics and Gynecology,Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
Abstract
- A diffuse alveolar hemorrhage (DAH) is a distinct form of pulmonary hemorrhage that originates from the pulmonary microcirculation. Disseminated intravascular coagulation (DIC) is one cause of DAH. Although HELLP syndrome associated with DIC can cause DAH, there are no published case reports that the authors are aware of. We report the case of a pregnant woman with HELLP syndrome who developed DAH. Because pregnant women with HELLP syndrome can develop DAH as a form of ARDS, a bronchoalveolar lavage may be used to make a differential diagnosis of this lung manifestation.
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