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Urine: Proteinuria (85% of cases) Hemoglobinuria (10% of cases) Depending on clinical context, other tests may be ordered to rule out mimics of HELLP including: ADAMTS13 levels (low in TTP) Complement tests (abnormal in HUS) Tests for autoimmunity, for example: Lupus anticoagulant ANA Differential diagnosis Thrombocytopenia with macroangiopathic hemolytic anemia during pregnancy: Acute fatty liver of pregnancy (AFLD): Typically occurs in the third trimester between the 30th and 38th gestational weeks
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doi:10.1016/j.bcp.2018.05.003 Neelakantan H, Brightwell CR, Graber TG, et al
Thus, vibration-controlled transient elastography (VCTE) or magnetic resonance elastography are used to identify early phases of the disease
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