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John H. Stone, MD, MPH

JAMA. 1998;280:559-562.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

CASE PRESENTATION

DR STONE: Mrs N is a 32-year-old businesswoman from California. I became familiar with her case 2 years ago when I was a postdoctoral fellow at the University of California, San Francisco, and she presented to her local physician with right-upper–quadrant pain. She has graciously agreed to join us at Hopkins today for Grand Rounds.

Mrs N, was the right-upper–quadrant pain the first symptom of your illness?

PATIENT: No. For 2 or 3 weeks before that, I had noticed some swelling around my eyes and over my brow bone. My eyes looked puffy. On Friday, the day before the pain started, my husband and I went away for the weekend. During the 2-hour drive, I realized that my ankles were swollen. To relieve the swelling, I put my feet up on the dashboard of the car. After about 30 minutes, the definition of my ankles . . . [Full Text of this Article]

What Is the HELLP Syndrome?

Returning to the Case

Management of the HELLP Syndrome

CONCLUSION

From the Division of Rheumatology, Department of Medicine, The Johns Hopkins University, Baltimore, Md.

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