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The report by Goel et al1 from Vellore is interesting and valuable. The authors identified 34 patients who had undergone liver biopsy for suspected pregnancy-related liver disease in their institution over a 9-year period. Twenty-four of those cases were deemed suitable for retrospective study. They applied the Swansea criteria for acute fatty liver of pregnancy (AFLP) and found that of the 20 cases fulfilling those criteria, in only 17 could …