A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome.

Jeong, Woo Jin; Huh, Jin Won; Yu, Mi Hyun; Choi, Young Jun; Jeon, Min Hyok; Sim, Jae Yun; Hong, Sang Bum

doi:2005.59.4.418

Tuberc Respir Dis > Volume 59(4); 2005 > Article

Case Report

Tuberculosis and Respiratory Diseases 2005;59(4):418-422.
DOI: https://doi.org/10.4046/trd.2005.59.4.418 Published online October 1, 2005.

A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome.

Woo Jin Jeong, Jin Won Huh, Mi Hyun Yu, Young Jun Choi, Min Hyok Jeon, Jae Yun Sim, Sang Bum Hong

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.

Key Words: Diffuse alveolar hemorrhage, HELLP syndrome, Disseminated intravascular coagulation