Acute renal failure occurring in a 24-year-old primigravida with eclam
psia and HELLP (hemolysis, elevated liver enzymes, low platelets) synd
rome is described. She also had transient disseminated intravascular c
oagulation. Hemodialysis, fresh blood transfusions, and antihypertensi
ve therapy were administered, and resulted in complete recovery. Kidne
y biopsy revealed acute tubular necrosis.