Original
HELLP syndrome can be difficult to diagnose due to the variability of symptoms among pregnant women (frequently a woman will have no symptoms other than general abdominal pain), and early diagnosis is key in reducing morbidity. If not treated in a timely manner, a woman can become critically ill or die due to liver rupture/hemorrhage or cerebral edema.
In a woman with possible HELLP syndrome, a batch of blood tests is performed: a full blood count, a coagulation panel, liver enzymes, electrolytes, and renal function studies. Often, fibrin degradation product levels are determined, which can be elevated. Lactate dehydrogenase is a marker of hemolysis and is elevated (>600 U/l). Proteinuria is present but can be mild.