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[The issue of use parallelism factor method and index of circulating anticoagulant in diagnostic algorithm deficity of coagulation factors.]

Authors :
Potylitsina VV
Samoilenko VV
Lobanova SM
Olkhovskiy IA
Palgova IV
Source :
Klinicheskaia laboratornaia diagnostika [Klin Lab Diagn] 2019; Vol. 64 (2), pp. 83-88.
Publication Year :
2019

Abstract

The paper presents the comparative use of algorithms to identify the causes of deficiency of coagulation factors in patients with a prolonged APTT, including the definition of the index of circulating anticoagulant (ICA) and the factor-parallelism (FP) method. The results obtained in children with hereditary hemophilia and adults with acquired hemophilia. It is shown that ICA is an effective method for pre-selection of patients with hereditary hemophilia if you suspect an inhibitor to subsequent confirmation test Bethesda. The method the FP has just proved itself in the diagnosis of acquired forms of hemophilia. The use of FP method is most expedient at the stage of screening to identify inhibitors in the laboratory. Method FP loses diagnostic value if the results of the activity factor in all dilutions is close to zero, which is characteristic for individual variants of hereditary hemophilia.<br />Competing Interests: The authors declare no conflict of interest.

Details

Language :
Russian
ISSN :
0869-2084
Volume :
64
Issue :
2
Database :
MEDLINE
Journal :
Klinicheskaia laboratornaia diagnostika
Publication Type :
Academic Journal
Accession number :
30917248
Full Text :
https://doi.org/10.18821/0869-2084-2019-64-2-83-88