Use of a platelet filter test in patients with thrombocytosis.

Abstract:

:In the differential diagnosis of primary and secondary thrombocytosis platelet function tests may play an important role. We examined the applicability of a platelet filter test (shear-dependent platelet aggregation) as a tool, to differentiate primary thrombocytosis (cases with myeloproliferative disorders) from secondary (reactive) thrombocytosis. The test was carried out in 53 patients suffering from myeloproliferative disorders associated with primary thrombocytosis and in 21 patients with other diseases complicated by secondary thrombocytosis. Using citrate as anticoagulant, the sensitivity of the O'Brien's test proved to be 77.1%, and its specificity 94.4%. Using heparin as anticoagulant the sensitivity and specificity of the test were found to be also reliably high. Based on these studies we suggest the use of the O'Brien's filterometer as a screening test in the differential diagnosis in patients with elevated platelet count. In the case of normal results, the causes of reactive thrombocytosis should be clarified first, while with abnormal results, haematological examination of the patients should be performed.

journal_name

Platelets

journal_title

Platelets

authors

Rejtö L,Schlammadinger A,László P,Kiss A,Telek B,Boda Z

doi

10.1080/09537100075788

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

38-42

issue

1

eissn

0953-7104

issn

1369-1635

journal_volume

11

pub_type

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