The prevalence of acute renal failure in Hellp syndrome

Whether it is a particular clinical form of pre-eclampsia (PE) or a separate entity the HELLP SYNDROME (HS) is a serious factor added to a vascular-renal terrain often very progressive sometimes in a super-acute manner in the form of a syndrome of multi-visceral failure serious for the mother and fatal for the fetus. Characterised by symptomatic evolutionary and ethological polymorphism it can reveal a chronic condition whether it is a nephropathy an auto-immune or thrombophilic condition. It is a true general disease with a heavy maternal and perinatal morbidity. Like eclampsia retro placental haematoma intra uterine growth retardation respiratory distress and renal failure all require a multidisciplinary approach by a specialised team. Finally its diagnosis and management are still the subject of controversy.