GPT and HELLP syndrome: ALT is a good marker of hepatic disease24 although in PE-related hepatic dysfunction, AST is the initial transaminase preferentially released into peripheral circulation such that the circulatory concentration of AST dominates ALT (at least initially) and levels of these transaminases may be part of the evidence used to exclude other differential diagnosis of PE.28 Platelet count is aimed at detecting thrombocytopenia, which is a complication of PE but may be a part of criteria for diagnosing HELLP syndrome.