An Anesthetic Experience in a Patient with EDTA-induced Pseudothrombocytopenia: A case report.
10.4097/kjae.1998.34.1.213
- Author:
Tae Kyoun KIM
1
;
Seung Joon LEE
;
Ho Yeong KIL
;
Young Joon YOON
Author Information
1. Department of Anesthesiology, Hallym University, School of Medicine, Seoul, Korea.
- Publication Type:In Vitro ; Case Report
- Keywords:
Blood: pseudothrombocytopenia
- MeSH:
Aged;
Blood Platelets;
Citric Acid;
Diagnosis;
Edetic Acid;
Female;
Humans;
Orthopedics;
Platelet Count;
Sodium;
Thrombocytopenia
- From:Korean Journal of Anesthesiology
1998;34(1):213-216
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pseudothrombocytopenia caused by platelet clumping is an in vitro phenomenon that occurs in ethylene-diamine-tetra-acetic acid (EDTA) anticoagulated blood at room temperature. Pseudothrombocytopenia may lead to erroneous diagnosis, unnecessary and costly additional laboratory examinations, and inappropriate medical or surgical therapy. We experienced 75-year old female pseudothrombocytopenia patient scheduled for orthopedic surgery, who showed abnormal thrombocytopenia (35,000/mm3) in preoperative routine platelet count using EDTA anticoagulant, but showed normal platelet count in sodium citrate anticoagulant.