Re: OB: Fun with preeclampsia--very long!

From: Luis Sanchez-Ramos, MD (luis.sanchez@jax.ufl.edu)
Fri Jul 27 22:47:20 2001


I agree with Dr. Woolley; with the data presented there is no way one can make the diagnosis of preeclampsia. HELLP syndrome is basically severe preeclampsia. You MUST have hypertension to have preeclampsia. Thrombocytopenia by itself is not enough for a diagnosis of preeclampsia. If the patient did not meet criteria for preeclampsia then certainly she could not have HELLP syndrome. There are many causes of low platelets (ITP, gestational thrombocytopenia amongst the most common). Now, I am not saying that this patient did not have preeclampsia or even HELLP syndrome: I am saying that with the data presented there is no evidence to suggest she had it. Why not report all the blood pressure readings and lab results throughout her intrapartum and postpartum course? Perhaps you can convince those that doubt the diagnosis.

LSR

At Fri, 27 Jul 2001, Robert Woolley wrote: >
>> Robert: you obviously have not had the priviledge to see a platelet
>> count go from 100K to 20K in a short period of time, without
>> proteinuria.
>
>So, in your book, platelets of 100K=preeclampsia, correct?





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