EDTA-dependent pseudothrombocytopenia confirmed by supplementation of kanamycin; a case report

EDTA-dependent pseudothrombocytopenia (PTCP) is the phenomenon of a spurious low platelet count due to EDTA-induced aggregation of platelets. Since the failure to recognize EDTA-dependent PTCP may result in incorrect diagnosis and inappropriate treatment, the recognition of this phenomenon is very i...

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Veröffentlicht in:The Korean journal of internal medicine 2002-03, Vol.17 (1), p.65-68
Hauptverfasser: Ahn, Hae Lyun, Jo, Young Il, Choi, Young Suk, Lee, Jung Yeon, Lee, Hae Woon, Kim, Seong Ryul, Sim, Joon, Lee, Weon, Jin, Chun Jo
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container_end_page 68
container_issue 1
container_start_page 65
container_title The Korean journal of internal medicine
container_volume 17
creator Ahn, Hae Lyun
Jo, Young Il
Choi, Young Suk
Lee, Jung Yeon
Lee, Hae Woon
Kim, Seong Ryul
Sim, Joon
Lee, Weon
Jin, Chun Jo
description EDTA-dependent pseudothrombocytopenia (PTCP) is the phenomenon of a spurious low platelet count due to EDTA-induced aggregation of platelets. Since the failure to recognize EDTA-dependent PTCP may result in incorrect diagnosis and inappropriate treatment, the recognition of this phenomenon is very important. We report an insidious case of EDTA-dependent PTCP confirmed by supplementation of kanamycin to anticoagulant in a 53-year-old women. Although sodium citrate and heparin usually prevented the aggregation of platelets in EDTA-dependent PTCP patients, these anticoagulants failed in preventing PTCP in our case. EDTA-dependent PTCP was confirmed by the findings that the clumping of platelets on microscopic evaluation was found in EDTA-anticoagulated blood samples, whereas thrombocytopenia and platelet aggregation were not revealed in the sample supplemented with kanamycin.
doi_str_mv 10.3904/kjim.2002.17.1.65
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subjects Anti-Bacterial Agents - pharmacology
Anticoagulants - adverse effects
Anticoagulants - pharmacology
Case Report
Edetic Acid - adverse effects
Female
Humans
Kanamycin - pharmacology
Middle Aged
Platelet Aggregation - drug effects
Platelet Aggregation Inhibitors - therapeutic use
Platelet Count
Thrombocytopenia - blood
Thrombocytopenia - chemically induced
title EDTA-dependent pseudothrombocytopenia confirmed by supplementation of kanamycin; a case report
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