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Incidence of anti-heparin/platelet factor 4 antibodies and heparin-induced thrombocytopenia in medical patients
OBJECTIVE: Heparin-induced thrombocytopenia (HIT) is a life threatening complication of heparin therapy, causing thrombosis. The aim of our study was to find out the frequencies of HIT antibody seroconversion and clinical HIT in Turkish medical patients on different forms of heparins.METHODS: Our study included 61 patients who were on unfractionated heparin (UFH) (n: 37) and low molecular weight heparin (LMWH) (n: 24) therapies. The frequency of HIT antibody formation was determined by means of antigenic (ELISA), and functional assays (serotonin release assay-SRA).RESULTS: The seroconversion rates in UFH and LMWH groups were found to be 18.9% and 4.1% (ELISA), and 8.1% and 4.1% (SRA), respectively. One patient (2.1%) on UFH therapy developed deep vein thrombosis. No thromboembolic event was observed in patients taking LMWH.CONCLUSION: Seroconversion rates by means of antigenic and functional assays and clinical HIT were more common in patients on UFH than patients on LMWH therapy. (Turk J Hematol 2009; 26: 171-5)

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Authors: Muzaffer Demir, Emre Tekgündüz, Mustafa Edis, Enver Duran, Turan Kürüm, Ömer Yiğitbaşı, Mahmut Yüksel

Keywords: Heparine bağlı trombositopeni, medikal hastalar, Türk hasta grubu, fraksiyone olmayan heparin, düşük molekül ağırlıklı heparin

  • Year: 2009
  • Number: 4
  • Referance No: 37132

  • Figure 1. Data on the frequency of antibody generation and clinical HIT in medical patients on UFH therapy are presented as an iceberg model. SRA: Serotonin release assay; PAT: Platelet aggregation assay; HITT: Heparin induced thrombocytopenia thrombosis
  • Figure 2. Data on the frequency of antibody generation and clinical HIT in medical patients on LMWH therapy are presented as an iceberg model. SRA: Serotonin release assay; PAT: Platelet aggregation assay; HITT: Heparin induced thrombocytopenia thrombosis
  • Figure 3. Results of serologic and functional assays on heparin and LMWH

Copyright © 2013 TJH Atlas of Hematology. All rights reserved.