Table 2

Differential diagnosis of the HELLP syndrome.

1. Diseases related to pregnancy

Benign thrombocytopenia of pregnancy

Acute fatty liver of pregnancy (AFLP)

2. Infectious and inflammatory diseases, not specifically related to pregnancy:

Virus hepatitis



Upper urinary tract infection


Gastric ulcer

Acute pancreatitis

3. Thrombocytopenia

Immunologic thrombocytopenia (ITP)

Folate deficiency

Systemic lupus erythematosus (SLE)

Antiphospholipid syndrome (APS)

4. Rare diseases that may mimic HELLP syndrome

Thrombotic thrombocytopenic purpura (TTP)

Haemolytic uremic syndrome (HUS)

Haram et al. BMC Pregnancy and Childbirth 2009 9:8   doi:10.1186/1471-2393-9-8

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