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Volume 348:2154-2155 May 22, 2003 Number 21
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Prevention of Eclampsia

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 by Belfort, M. A.
-PubMed Citation
To the Editor: Belfort et al. (Jan. 23 issue)1 define the HELLP syndrome as hemolysis, elevated liver enzymes, and a platelet count below 150,000 per cubic millimeter. As the person who established the criteria for the diagnosis and named the entity the "HELLP syndrome," I would appreciate the authors' use of the correct platelet count, as described in my original report2 and as cited in the reference they provide3: it is 100,000 platelets per cubic millimeter.


Louis Weinstein, M.D.
Medical College of Ohio
Toledo, OH 43614
lweinstein@mco.edu

  1. Belfort MA, Anthony J, Saade GR, Allen JC Jr. A comparison of magnesium sulfate and nimodipine for the prevention of eclampsia. N Engl J Med 2003;348:304-311. [Free Full Text]
  2. Weinstein L. Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy. Am J Obstet Gynecol 1982;142:159-167. [ISI][Medline]
  3. Hypertension in pregnancy. ACOG technical bulletin. No. 219. Washington, D.C.: American College of Obstetricians and Gynecologists, January 1996.

 
To the Editor: Belfort et al. suggest that the (unknown) mechanism of . . . [Full Text of this Article]




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