Yagmur Sisman, Rasmus Heje Thomsen, Vibeke Vestermark
& Lone Krebs:
Folate deficiency as a differential diagnosis to severe pre-eclampsia
Ugeskr Læger 2019;181:V12180869
In this case report, a 26-year-old pregnant woman presented with headache, visual disturbances, megaloblastic anaemia, thrombocytopenia and proteinuria in her third trimester. These symptoms were initially misinterpreted as HELLP-syndrome, but due to normal blood pressure and liver function the patient was diagnosed with severe folate deficiency despite her daily supplements of folate to avoid neural tube defects and deficiency. The reason was onset of coeliac disease during pregnancy. Careful examination may help discriminate HELLP-syndrome from folate deficiency and thus avoid preterm delivery.