Case Report

Preeclampsia, HELLP Syndrome, and Postpartum Renal Failure with Thin Basement Membrane Nephropathy: Case Report and a Brief Review of Postpartum Renal Failure

Table 3

Diagnostic criteria for preeclampsia fulfilled by our patient.

Preeclampsia criteriaOur patient’s laboratory results on admissionMet or unmet

Blood pressureNew-onset hypertension after 20 weeks of gestation (>140/>90 on 2 occasions at least 4 h apart or >160/>110 within short minutes)Postpartum blood pressure of 140/60 mmHg, with continuous elevated readings during hospitalizationMet
ProteinuriaHypertension plus >300 mg/24 h urine collection, protein/creatinine ratio of >0.3, or urine dipstick reading of 1+Protein/creatinine ratio of 0.7Met
End-organ damageBlood pressure criteria plus evidence of thrombocytopenia (K), renal insufficiency ( or doubling), impaired liver function (transaminases twice the normal), pulmonary edema, cerebral or visual symptomsPlatelets: 68,000/μlMet
Creatinine: 5.3 mg/dl
AST/ALT: 650/1308

AST: aspartate transaminase; ALT: alanine transaminase.