J Hematol

Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc

Journal website http://www.thejh.org

Case Report

Volume 7, Number 1, January 2018, pages 32-37

HELLP Syndrome, Thrombotic Thrombocytopenic Purpura or Both: Appraising the Complex Association and Proposing a Stepwise Practical Plan for Differential Diagnosis

Figures

Figure 1. Antepartum practical management plan. PEX: plasmapheresis.

Figure 2. Postpartum practical management plan. PEX: plasmapheresis.

Table

**Table 1.** Clinical Course and Laboratory Values Evolution of Case Three
	5/24	5/25	5/26	5/27	5/28	5/29	5/30	5/31	6/1	6/2	6/3	6/5	6/6	6/8	6/9	6/16
PBS: peripheral blood smear.
Creatinine	0.5			1.2	1.3	1.6	1.7	1.4	1.3	1.2	1.3	1.3	1.2	1	1.1	1.1
SGOT	39	20	71	128	135	134	60	47	39		16	24			18	20
LDH	239	230	1,214	3,800	3,628	3,168	1,520	1,450	799	549	357	436	331	286	159	230
Platelet count (× 100)	204	186	93	48	30	24	20	40	80	150	208	247	313	398	424	333
Hematocrit	32	33.9	31	28	25	24	19	22	22	21.4	22	23	24.8	24	23.1	34.1
PBS				×		×	×	×	×			×
Plasmapheresis						×	×	×		×	×		××	×	×
Diagnosis	Preeclampsia		HELLP syndrome			TTP				Recovery
	Delivery															discharge