van der Meer W, Allebes W, Simon A, van Berkel Y, de Keijzer M H
Department of Clinical Chemistry, University Medical Center St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
Eur J Haematol. 2002 Oct;69(4):243-7. doi: 10.1034/j.1600-0609.2002.02680.x.
Pseudothrombocytopenia is usually associated with blood specimens anticoagulated with ethylenediamine tetraacetic acid (EDTA) or other anticoagulants. It may be caused by temperature-independent, EDTA-dependent antibodies of the immunoglobulin-M (IgM) type. Here a patient with EDTA-independent and temperature-independent pseudothrombocytopenia mediated by IgM or IgM-containing immune complex is reported, and a reliable method is described for a proper counting of platelets in such cases.