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Magnesium-dependent activated partial thromboplastin time assay-Simple method for lupus anticoagulant detection.
Tokutake, Takayoshi; Ieko, Masahiro; Naito, Sumiyoshi; Yoshida, Mika; Baba, Hisami; Kobayashi, Hikaru; Ishida, Fumihiro.
Afiliación
  • Tokutake T; Department of Transfusion, Nagano Red Cross Hospital, Nagano, Japan.
  • Ieko M; Department of Internal Medicine, School of Dentistry, Health Sciences University of Hokkaido, Ishikari-Tobetsu, Japan.
  • Naito S; Department of Clinical Laboratory, Hospital of Health Sciences University of Hokkaido, Sapporo, Japan.
  • Yoshida M; Department of Clinical Laboratory, Health Sciences University of Hokkaido, Ishikari-Tobetsu, Japan.
  • Baba H; Department of Transfusion, Nagano Red Cross Hospital, Nagano, Japan.
  • Kobayashi H; Department of Transfusion, Nagano Red Cross Hospital, Nagano, Japan.
  • Ishida F; Department of Hematology, Nagano Red Cross Hospital, Nagano, Japan.
Int J Lab Hematol ; 42(1): 46-51, 2020 Feb.
Article en En | MEDLINE | ID: mdl-31821738
INTRODUCTION: Detection of lupus anticoagulant (LA), an antiphospholipid (aPL) antibody, in a clotting time test is an important finding for diagnosis of antiphospholipid syndrome (APS). However, confirmation of LA requires several different testing procedures, some of which can be difficult and require time. We report here a simple and highly specific method for detecting LA. MATERIALS AND METHODS: We examined 66 plasma samples obtained from LA-positive (LA) and 75 from LA-negative (non-LA) subjects, which included patients with acquired hemophilia and coagulation disorders, as well as from 43 healthy volunteer samples as normal controls. Activated partial thromboplastin time (APTT) was determined by adding 20 mmol of CaCl2 (Ca-APTT) or 25 mmol of a mixture of Mg and Ca (Mg-APTT). The ratio of Mg-APTT/Ca-APTT was then calculated and used as the Mg/Ca Index. RESULTS: The Mg/Ca Index value for the LA group was significantly lower than that for the non-LA and normal control groups (P < .0001). When the cutoff value of the Mg/Ca Index was less than 1.00, the sensitivity of LA determination using the Mg-APTT assay was 80.3%, while specificity was 100%. CONCLUSION: Our findings indicate that the present Mg-APTT assay is a simple yet highly specific method for LA detection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidor de Coagulación del Lupus / Síndrome Antifosfolípido / Magnesio Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Int J Lab Hematol Asunto de la revista: HEMATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidor de Coagulación del Lupus / Síndrome Antifosfolípido / Magnesio Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Int J Lab Hematol Asunto de la revista: HEMATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido