Quantification of Platelet-associated IgG for Differential Diagnosis of Patients with Thrombocytopenia

Autor: H. Kirchner, H Hennig, Harald Klüter, H. Hagenström, P Schlenke
Rok vydání: 2000
Předmět:
Zdroj: Thrombosis and Haemostasis. 84:779-783
ISSN: 2567-689X
0340-6245
DOI: 10.1055/s-0037-1614115
Popis: SummaryImmune thrombocytopenia is due to platelet destruction by circulating glycoprotein-specific antibodies and is found in various disorders. Methods for the detection of platelet-associated IgG (PAIgG) are generally sensitive but unspecific, whereas glycoprotein-specific assays are highly specific but less sensitive. Usefully, a sensitive screening method for PAIgG detection would also provide information for differential diagnosis. We developed a quantitative direct Platelet Immunofluorescence Test (PIFT) by flow cytometry and studied 79 thrombocytopenic patients with immune thrombocytopenia and other disorders. The sensitivity of the assay was 94%, its specificity 66% for the detection of a clinically obvious immune thrombocytopenia. PAIgG levels of patients with immune thrombocytopenia differed significantly from those of other patients with low platelet counts (p
Databáze: OpenAIRE