Re: HELLP SYNDROME/low platelets

From: Dr Vivienne Souter (viv@tattoo.ed.ac.uk)
Mon Oct 28 05:14:06 1996


Hi Jimmy, >>I know anecdotes are not particularly helpful but I have seen a patient >>with PET, platelets of 120 and deranged coagulation so the "platelets of >>100" adage is certainly not infallible.
>What were the other parameters, was there an abruption?
>What was the coag derangement?

The patient had no clinical evidence of an abruption. She was undergoing caesarean section because of PET and in fact it was the anaesthetist who had insisted that a coag. screen be done before she had a spinal. The anaesthetist was particularly smug when the result came back! I am sorry I do not have any more information: I had meant to take a note of the details at the time. It was not a severe coagulopathy, however.

Viv V.L. Souter Research Fellow / Specialist Registrar Royal Infirmary of Edinburgh E-mail: V.L.Souter@ed.ac.uk





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