HELLP syndrome history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Patients who present with symptoms of HELLP can be misdiagnosed in the early stages, increasing the risk of liver failure and morbidity.^[1] There is gradual but marked onset of headaches (30%), blurred vision, malaise (90%), nausea/vomiting (30%), “band pain” around the upper abdomen (65%) and tingling in the extremities. Edema may occur but its absence does not exclude HELLP syndrome. If the patient develops a seizure or coma, the condition has progressed into full-blown eclampsia.

• Fatigue or feeling unwell
• Fluid retention and excess weight gain
• Headache
• Nausea and vomiting that continues to get worse
• Pain in the upper right part of the abdomen
• Blurry vision
• Nosebleed or other bleeding that won’t stop easily (rare)
• Seizures or convulsions (rare)

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