HELLP SYNDROME

A   32-year-old multigravida    is  at  32  weeks’  gestation.  At  a   routine prenatal

visit   her BP  was noted   to  be  160/105 mm  Hg. Previous    BP  readings    were

normal. Preeclampsia    workup  was begun   and revealed    the following:

elevated    total   bilirubin,  lactate dehydrogenase,  alanine aminotransferase,

and aspartate   aminotransferase,   as  well    as  platelet    count   of  85,000. She has

no  complaints  of  headache    or  visual  changes.