“…On the other hand, we found that in severe preeclampsia the bleeding time was markedly prolonged, not associated to the slight reduction of the platelet count observed in this group of patients. Previous studies in preeclamptic patients havc shown an early platelet activation, which is evidenced by the release of B-thromboglobulin and platelet factor 4 (1, 10, 11, 13,13,14), and by the decrease of the endogenous serotonin in the platelet (1 5); moreover, thromboxane released by t h e platelets enhances platelet aggregation and maintains the imbalance with prostacyclin, which is a ugmented in preeclampsia (16,17). These functional modifications, both in platelets and in endothelial cells, suggested by different markers of the endothelial cell injury reported in preeclatnpsia ( 18, 19,20,21,22), may have a role in the bleeding time modifications in preeclampsia.…”