Thrombogram: case report of pseudothrombocytopenia

ABSTRACT The thrombogram is one of the components of the blood count that includes platelet quantification and evaluation. The presence of laboratory artifacts, such as incorrect platelet counts by autoanalyzers, can lead to pseudothrombocytopenia, which is responsible for 15% to 30% of the cases of...

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Detalles Bibliográficos
Autores: Costa,Bruno Miguel B., Vellés,Maria C., Viana,Maria Mariana F. B., Pereira,Ana Conceição M., Rocha,Susana Catarina P., Rocha,Liliana P., Moreira,Vera Monica R. P.
Tipo de recurso: informe técnico
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Sociedade Brasileira de Patologia (SBP)
Repositorio:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
Idioma:inglés
OAI Identifier:oai:scielo:S1676-24442020000100701
Acceso en línea:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100701
Access Level:acceso abierto
Palabra clave:thrombogram
pseudothrombocytopenia
anticoagulant
Descripción
Sumario:ABSTRACT The thrombogram is one of the components of the blood count that includes platelet quantification and evaluation. The presence of laboratory artifacts, such as incorrect platelet counts by autoanalyzers, can lead to pseudothrombocytopenia, which is responsible for 15% to 30% of the cases of isolated thrombocytopenia observed in laboratory routine. Pseudothrombocytopenia induced by the anticoagulant ethylenediaminetetraacetic acid (EDTA) is one of the most frequent cases in which the presence of anticoagulant in blood samples can cause platelet aggregation or platelet satellitism. Careful observation of the data emitted by autoanalyzers, such as platelet and flag histograms, is crucial. Other procedures, such as checking for clotting in the sample, repeating the sample and viewing a peripheral blood smear, requesting a new sample taken with another type of anticoagulant, such as citrate, are imperative for the confirmation of cases of pseudothrombocytopenia.