A hallmark sign of HELLP syndrome in pregnant patients is?

The hallmark sign of HELLP syndrome in pregnant patients is epigastric pain. HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelets, is a serious complication of pregnancy typically associated with severe preeclampsia. Epigastric pain occurs due to liver distention or inflammation, as the condition often leads to elevated liver enzyme levels and hepatic dysfunction. Patients may describe the pain as a constant throbbing sensation in the upper abdomen, which can sometimes radiate to the right shoulder and is often worsened by palpation.

Recognizing epigastric pain is critical because it prompts further assessment and intervention, given that HELLP syndrome can lead to serious maternal and fetal morbidity and mortality if not addressed quickly. Early identification and management can significantly improve outcomes for both mother and baby. This is why the presence of epigastric pain is a key diagnostic feature of HELLP syndrome, distinguishing it from other conditions that might present during pregnancy.