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. 2022 Mar 15;9(1):e000624. doi: 10.1136/bmjgast-2021-000624

Table 4.

Mississippi and Tennessee systems for diagnosis of HELLP syndrome

Mississippi system Tennessee system
Class 1 (severe):
  • AST or ALT > 70 U/L

  • LDH > 600 U/L

  • Platelets < 50 × 109 /L


Class 2 (moderate):
  • AST or ALT > 70 U/L

  • LDH > 600 U/L

  • Platelets 50–100 × 109 /L


Class 3 (mild)
  • AST or ALT > 40 U/L

  • LDH > 600 U/L

  • Platelets 100–150 × 109 /L

  • AST > 70 U/L

  • LDH > 600 U/L

  • Platelets < 100 × 109 /L

Complete HELLP syndrome: all three criteria met
Partial HELLP syndrome: 1–2 criteria met

ALT, alanine aminotransferase; AST, aspartate aminotransferase; HELLP, haemolysis, elevated liver enzymes, low platelets; LDH, lactate dehydrogenase.