Abstract
Ethylenediaminetetraacetic acid (EDTA)-dependent pseudothrombocytopenia (PTCP) is the phenomenon of a false low platelet count reported by an automated haematology analyzer due to in vitro aggregation of platelets. This aggregation is due to the interaction between antibodies and EDTA-dependent crypt antigens on platelets. We observed a new born child whose mother was diagnosed with transient PTCP due to transplacental transmission of maternal immunoglobulin G antibodies during pregnancy. Conclusion: Although maternal–neonatal PTCP is rare, it is important to consider this phenomenon as a cause of trombocytopenia, as it can result in unnecessary diagnostic workup and treatment.
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Bartels PCM, Schoorl M, Lombarts AJPF (1997) Screening for EDTA-dependent deviations in platelet count and abnormalities in platelet distribution histogram in pseudothromocytopenia. Scand J Clin Lab Invest 57:629–636
Bizarro N (1995) EDTA-dependent pseudothrombocytopenia: a clinical and epidemiological study of 112 cases, with 10-year follow-up. Am J Hematol 50:103–109
Casonato A, Bertomoro A, Pontara E, Dannhauser D, Lazzaro AR, Girolami A (1994) EDTA dependent pseudothrombocytopenia caused by antibodies against the cytoadhesive receptor of platelets gb IIb/IIIa. J Clin Pathol 47:625–630
Chiurazzi F, Villa MR, Rotoli B (1999) Transplacental transmission of EDTA-dependent pseudothrombocytopenia. Haematologica 84:664
Froom P, Barak M (2011) Prevalence course of pseudothombocytopenia in outpatients. Clin Chem Labmed 49:111–114
Jacobs J, Tricot G, Verwilghen RL (1986) Pseudotrombocytopenie door trombocytenagglutinaten (EDTA-pseudotrombocytopenie). Ned Tijdschrift voor Geneeskunde 130:1643–1646
Malek A, Sager R, Kuhn P, Nicolaides KH, Schneider H (1996) Evolution of maternofetal transport of immunoglobulines during human pregnancy. Am J Reprod Immunol 36:248–255
Onho N, Kobayashi M, Hayakawa S, Utsunomia A, Karakawa S (2012) Transient pseudothrombocytopenia in a neonate: transmission of a maternal EDTA-dependent anticoagulant. Platelets 23(5):399–400
Shreiner DP, Bell WR (1973) Pseudothrombocytopenia: manifestation of a new type of platelet agglutinin. Blood 42:541–549
von dem Borne AE, Verheugt FW, Oosterhof F, von Riesz E, de la Rivière AB, Engelfriet CP (1978) A simple immunofluorescence test for the detection of platelet antibodies. Br J Haematol 39(2):195–207
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Korterink, J.J., Boersma, B., Schoorl, M. et al. Pseudothrombocytopenia in a neonate due to mother?. Eur J Pediatr 172, 987–989 (2013). https://doi.org/10.1007/s00431-012-1892-4
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DOI: https://doi.org/10.1007/s00431-012-1892-4