Incidence and diagnosis of EDTA-dependent pseudothrombocytopenia in a consecutive outpatient population referred for isolated thrombocytopenia

Vox Sang. 1995;68(1):35-9. doi: 10.1111/j.1423-0410.1995.tb02542.x.

Abstract

Among 111 patients referred to our outpatient clinic for isolated thrombocytopenia during a 24-month period, 17 (15.3%) cases of EDTA-dependent pseudothrombocytopenia (EDTA-PTCP) were identified. EDTA-PTCP represented the second most frequent cause of thrombocytopenia in this population. The diagnosis was confirmed by the following findings: (a) normal platelet numbers immediately after blood withdrawal; (b) progressive fall of platelet counts and evident platelet clumping over time, only in EDTA-anticoagulated blood. A simple, inexpensive and quick diagnostic method was devised, that consists in evaluating the platelet number in a blood sample anticoagulated with EDTA immediately after blood withdrawal and 4 h later.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care Facilities
  • Edetic Acid / adverse effects*
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Platelet Count / drug effects
  • Thrombocytopenia / chemically induced
  • Thrombocytopenia / diagnosis
  • Thrombocytopenia / epidemiology*

Substances

  • Edetic Acid