Hypertension during Pregnancy: Or something else? Differential Diagnosis

Blood, blood-forming organs – immune system (D50-D90).

  • Hemolytic uremic syndrome (HUS) – triad of microangiopathic hemolytic anemia (MAHA; form of anemia in which erythrocytes (red blood cells) are destroyed), thrombocytopenia (abnormal decrease in platelets/platelets), and acute kidney injury (AKI); Mostly occurring in children in the context of infections; most common cause of acute renal failure requiring dialysis in childhood.
  • Idiopathic thrombocytopenic purpura – disease of the blood in which there is a destruction of platelets.
  • Thrombotic-thrombocytopenic purpura (TTP; synonym: Moschcowitz syndrome) – acute onset of purpura with fever, renal insufficiency (renal weakness; renal failure), anemia (anemia), and transient neurological and mental disorders; occurrence largely sporadic, autosomal dominant in the familial form.

Endocrine, nutritional and metabolic disorders (E00-E90).

Cardiovascular system (I00-I99)

  • Apoplexy (stroke)
  • Hypertensive crisis – increase in blood pressure to values of > 230/120 mmHg; in this case, no organ damage occurs
  • Intracranial hemorrhage (bleeding within the skull; parenchymal, subarachnoid, sub- and epidural, and supra- and infratentorial hemorrhage)/intracerebral hemorrhage (ICB; cerebral hemorrhage), unspecified
  • Malignant (malignant) hypertension (hypertensive emergency) – blood pressure is persistently elevated to levels > 230/120 mmHg and concomitant hypertension-related organ damage occurs. In this case, a medicinal blood pressure reduction must be performed immediately

Infectious and parasitic diseases (A00-B99).

Liver, gallbladder, and bile ducts-pancreas (pancreas) (K70-K77; K80-K87).

Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93).

  • Gastritis (inflammation of the gastric mucosa).
  • Hiatal hernia (hiatal hernia)

Musculoskeletal system and connective tissue (M00-M99).

  • Lupus erythematosus – autoimmune disease in which there is antibody formation against the body’s own tissues.

Neoplasms – tumor diseases (C00-D48).

Psyche – nervous system (F00-F99; G00-G99)

  • Epilepsy (seizure disorder)

Pregnancy, childbirth and puerperium (O00-O99)

  • Chronic hypertension in pregnancy – already existing before pregnancy or before the 20th week of pregnancy or still existing after more than six weeks after delivery.
  • Eclampsia – occurrence of seizures (without the presence of epilepsy) in preeclampsia; however, may occur without the presence of hypertension and / or proteinuria.
  • Gestational hypertension – new-onset hypertension during pregnancy without further complications with values of > 140/90 mmHg (when measured at least twice with an interval of six hours) in a previously healthy woman; blood pressure values normalize within the first 12 weeks after delivery
  • HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) – special form of preeclampsia, which is associated with blood count changes such as hemolysis (decay of red blood cells), elevated liver enzymes and a reduced number of platelets (thrombocytopenia) and can take life-threatening courses.
  • Graft pre-eclampsia (graft gestosis) – chronic hypertension that occurs in pregnancy combined with proteinuria (excretion of protein (protein) with the urine).
  • Preeclampsia (EPH-gestosis or proteinuric hypertension) – new-onset hypertension in pregnancy with proteinuria (excretion of protein (protein) with urine; > 300 mg/24 h) after the 20th week of pregnancy.
  • Severe preeclampsia