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Clinical and Applied Thrombosis/Hemostasis
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*Platelet Disorders
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Report of a Patient With Heparin-induced Thrombocytopenia Type II Associated With IgA Antibodies Only

Oliver Meyer, MD

T. Aslan, MD

Institut für Transfusionsmedizin, Charité, Universitätsmedizin Berlin, Germany

A. Koster, MD

Deutsches Herzzentrum Berlin, Germany

H. Kiesewetter, MD

A. Salama, MD

Institut für Transfusionsmedizin, Charité, Universitätsmedizin Berlin, Germany

Heparin-induced thrombocytopenia type II (HIT II) is usually mediated by immunoglobulin G (IgG) antibodies that lead to platelet activation via the Fc{gamma}IIA-receptor. Here we describe a patient who developed HIT II after aortocoronary bypass surgery. His serum contained an antibody that was detectable by the heparin-induced platelet activation assay (HIPA) and by the ID-HPF4 particle agglutination assay. The flow cytometric analysis showed that the antibody was of the IgA class.

Key Words: Heparin-induced thrombocytopenia • Heparin/PF4-antibodies • Immunoassay • Platelet activation assay

Clinical and Applied Thrombosis/Hemostasis, Vol. 12, No. 3, 373-375 (2006)
DOI: 10.1177/1076029606291400


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