An Anesthetic Experience in a Patient with EDTA-induced Pseudothrombocytopenia: A case report. |
Tae Kyoun Kim, Seung Joon Lee, Ho Yeong Kil, Young Joon Yoon |
Department of Anesthesiology, Hallym University, School of Medicine, Seoul, Korea. |
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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. |
Key Words:
Blood: pseudothrombocytopenia |
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