Yıl: 2023 Cilt: 45 Sayı: 6 Sayfa Aralığı: 1011 - 1014 Metin Dili: İngilizce DOI: 10.20515/otd.1326098 İndeks Tarihi: 22-12-2023

Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?

Öz:
Hematopoietic stem cell transplantation (HSCT) may take place in the form of an autologous or allogeneic transplant depending on the indication for transplantation. Because of the myeloablative conditioning regimens preceding HSCT, deep thrombocytopenia is experienced by most of the stem cell recipients in whom replenishment of leukocytes and platelets is expected within the first month following the transplantation. Prolonged thrombocytopenia, on the other hand, usually develops as a delayed complication of allogeneic stem cell transplantation (allo-SCT) and is associated to the source of stem cells, quantity of the infused CD34+ cells, graft-versus-host-disease (GVHD), insufficient engraftment, relapse of the malignancy, microangiopathy, alloimmunisation, medications, or viral infections. In an attempt to explain pathogenesis leading to post-HSCT thrombocytopenia, two main theories have been proposed. First one is the peripheral destruction caused by anti-platelet antibodies, splenic sequestration, or other factors. The latter blames insufficient platelet generation due to impaired thrombopoiesis. Nevertheless, most of the clinical conditions arise with overlapping of both mechanisms.Here we present a pseudothrombocytopenia case induced by donor-related ethylene-diamine-tetra-acetic acid (EDTA) as an unanticipated cause of thrombocytopenia to which most recipients of allo-SCT are prone to.
Anahtar Kelime: EDTA Allogeneic Stem Cell Transplantation

Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?

Öz:
Hematopoietik kök hücre nakli (HKHN) endikasyona göre otolog veya allojeneik yapılabilir. Derin trombositopeniler, myeloablatif hazırlama rejimlerine bağlı olarak genellikle tüm hastalarda görülür. Lökositlerin ve trombositlerin yenilenmesi nakilden sonraki ilk ay içinde beklenir.. Uzun süreli trombositopeni, genellikle allojeneik kök hücre nakli sonrası hastalarda geç komplikasyon olarak görülür. Bu durum, kök hücre kaynağına, infüze edilen CD34+ hücrelerin miktarına, graft versus host hastalığına, engrafman yetmezliğine, altta yatan malignitenin nüksüne, mikroanjiyopatiye, alloimmünizasyona, ilaçlara veya viral enfeksiyonlara bağlanmaktadır. HKHN sonrası trombositopeninin patogenezi için iki ana teori ileri sürülmüştür, ilki anti-trombosit otoantikorları, splenik sekestrasyon veya diğer faktörler nedeniyle periferik yıkım; ikincisi ise, trombosit üretiminin, bozulmuş trombopoez nedeniyle yetersiz olmasıdır. Bununla birlikte, çoğu klinik durum, iki mekanizmanın üst üste çakışması ile karşımıza çıkar.Bu yazıda alloKHN sonrası beklenen bir durum olan trombositopeninin beklenmeyen bir nedeni olarak ‘donör kaynaklı EDTA’ya bağlı pseudotrombositopeni’ vakası sunulmuştur.
Anahtar Kelime: EDTA Allojeneik kök hücre nakli

Belge Türü: Makale Makale Türü: Editöre Mektup Erişim Türü: Erişime Açık
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  • 3. Di Francesco A, Pasanisi A, Tsamesidis I, Podda L, Fozza C. Pseudo-thrombocytopenia after autologous stem cell transplantation. Blood Coagul Fibrinolysis. 2019 Mar;30(2):66-67.
APA Üsküdar Teke H, GUNDUZ E (2023). Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. , 1011 - 1014. 10.20515/otd.1326098
Chicago Üsküdar Teke Hava,GUNDUZ Eren Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. (2023): 1011 - 1014. 10.20515/otd.1326098
MLA Üsküdar Teke Hava,GUNDUZ Eren Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. , 2023, ss.1011 - 1014. 10.20515/otd.1326098
AMA Üsküdar Teke H,GUNDUZ E Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. . 2023; 1011 - 1014. 10.20515/otd.1326098
Vancouver Üsküdar Teke H,GUNDUZ E Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. . 2023; 1011 - 1014. 10.20515/otd.1326098
IEEE Üsküdar Teke H,GUNDUZ E "Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?." , ss.1011 - 1014, 2023. 10.20515/otd.1326098
ISNAD Üsküdar Teke, Hava - GUNDUZ, Eren. "Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?". (2023), 1011-1014. https://doi.org/10.20515/otd.1326098
APA Üsküdar Teke H, GUNDUZ E (2023). Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. Osmangazi Tıp Dergisi, 45(6), 1011 - 1014. 10.20515/otd.1326098
Chicago Üsküdar Teke Hava,GUNDUZ Eren Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. Osmangazi Tıp Dergisi 45, no.6 (2023): 1011 - 1014. 10.20515/otd.1326098
MLA Üsküdar Teke Hava,GUNDUZ Eren Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. Osmangazi Tıp Dergisi, vol.45, no.6, 2023, ss.1011 - 1014. 10.20515/otd.1326098
AMA Üsküdar Teke H,GUNDUZ E Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. Osmangazi Tıp Dergisi. 2023; 45(6): 1011 - 1014. 10.20515/otd.1326098
Vancouver Üsküdar Teke H,GUNDUZ E Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?. Osmangazi Tıp Dergisi. 2023; 45(6): 1011 - 1014. 10.20515/otd.1326098
IEEE Üsküdar Teke H,GUNDUZ E "Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?." Osmangazi Tıp Dergisi, 45, ss.1011 - 1014, 2023. 10.20515/otd.1326098
ISNAD Üsküdar Teke, Hava - GUNDUZ, Eren. "Donor-related EDTA dependent pseudothrombocytopenia after allogeneic stem cell transplantation. Can it be real?". Osmangazi Tıp Dergisi 45/6 (2023), 1011-1014. https://doi.org/10.20515/otd.1326098