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Re: HELLP SYNDROME/low plateletsFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Wed Oct 30 00:09:56 1996
In message <01BBC4C5.396A74A0@dialup-80.publab.ed.ac.uk>, Dr Vivienne Souter <viv@tattoo.ed.ac.uk> writes >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. > Could be she had co-existing ITP/lupus. Did platelets return to normal afterwards ? Whee any other tests done ?
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office)
01525-222849 (home)
Fax: 01582-497424
email: Malcolm@mgriff22.demon.co.uk
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