Table 2.

Differentiation of pregnancy-associated microangiopathies.*

MAHAThrombo-cytopeniaCoagulo-pathyHyper-tensionRenal DiseaseCNS DiseaseTime of Onset
Abbreviations: MAHA, microangiopathic hemolytic anemia; CNS, central nervous system; HELLP, hemolysis, elevated liver function tests, low platelets syndrome: HUS, hemolytic uremic syndrome: TTP, thrombotic thrombocytopenic purpura; SLE, systemic lupus erythematosus; APS, antiphospholipid syndrome; AFLP, acute fatty liver of pregnancy; ±, variably present; +, mild; ++, moderate; +++, severe 
* Modified from McCrae and Cines, Semin Hematol. 1997;34:148 (reference 4) 
Preeclampsia ± +++ 3rd trimester 
HELLP ++ +++ ± ± 3rd trimester 
HUS ++ ++ ± ± +++ ± Postpartum 
TTP +++ +++ ± ± +/± +++ 2nd trimester 
SLE ± to +++ ± ± +/++ Anytime 
APS - to ± ± ± ± Anytime 
AFLP +/± +++ ± ± 3rd trimester 
MAHAThrombo-cytopeniaCoagulo-pathyHyper-tensionRenal DiseaseCNS DiseaseTime of Onset
Abbreviations: MAHA, microangiopathic hemolytic anemia; CNS, central nervous system; HELLP, hemolysis, elevated liver function tests, low platelets syndrome: HUS, hemolytic uremic syndrome: TTP, thrombotic thrombocytopenic purpura; SLE, systemic lupus erythematosus; APS, antiphospholipid syndrome; AFLP, acute fatty liver of pregnancy; ±, variably present; +, mild; ++, moderate; +++, severe 
* Modified from McCrae and Cines, Semin Hematol. 1997;34:148 (reference 4) 
Preeclampsia ± +++ 3rd trimester 
HELLP ++ +++ ± ± 3rd trimester 
HUS ++ ++ ± ± +++ ± Postpartum 
TTP +++ +++ ± ± +/± +++ 2nd trimester 
SLE ± to +++ ± ± +/++ Anytime 
APS - to ± ± ± ± Anytime 
AFLP +/± +++ ± ± 3rd trimester