scholarly journals Inter-individual variability in phospholipid-dependent interference of C-reactive protein on activated partial thromboplastin time

2017 ◽  
Vol 183 (4) ◽  
pp. 681-683
Author(s):  
Lale Erdem-Eraslan ◽  
Jacques J. H. Hens ◽  
André P. van Rossum ◽  
Marieke A. M. Frasa ◽  
Jeffrey F. W. Keuren
2012 ◽  
Vol 157 (3) ◽  
pp. 394-395 ◽  
Author(s):  
André P. van Rossum ◽  
L. Tom Vlasveld ◽  
Laura J. M. van den Hoven ◽  
Carla W. M. de Wit ◽  
Ad Castel

Author(s):  
Maria Orietta Borghi ◽  
Asmaa Beltagy ◽  
Emirena Garrafa ◽  
Daniele Curreli ◽  
Germana Cecchini ◽  
...  

AbstractBackgroundCritically ill patients with coronavirus disease 2019 (COVID-19) have a profound hypercoagulable state and often develop coagulopathy which leads to organ failure and death. Because of a prolonged activated partial-thromboplastin time (aPTT), a relationship with anti-phospholipid antibodies (aPL) has been proposed, but results are controversial. Functional assays for aPL (i.e., lupus anticoagulant) can be influenced by concomitant anticoagulation and/or high levels of C reactive protein. The presence of anti-cardiolipin (aCL), anti-beta2-glycoprotein I (anti-β2GPI) and anti-phosphatidylserine/prothrombin (aPS/PT) antibodies was not investigated systematically. Epitope specificity of anti-β2GPI antibodies was not reported.ObjectiveTo evaluate the prevalence and the clinical association of aPL in a large cohort of COVID-19 patients, and to characterize the epitope specificity of anti-β2GPI antibodies.MethodsELISA and chemiluminescence assays were used to test 122 sera of patients suffering from severe COVID-19. Of them, 16 displayed major thrombotic events.ResultsAnti-β2GPI IgG/IgA/IgM were the most frequent in 15.6/6.6/9.0% of patients, while aCL IgG/IgM were detected in 5.7/6.6% by ELISA. Comparable values were found by chemiluminescence. aPS/PT IgG/IgM were detectable in 2.5 and 9.8% by ELISA. No association between thrombosis and aPL was found. Reactivity against domain 1 and 4-5 of β2GPI was limited to 3/58 (5.2%) tested sera for each domain and did not correlate with aCL/anti-β2GPI nor with thrombosis.ConclusionsaPL show a low prevalence in COVID-19 patients and are not associated with major thrombotic events. aPL in COVID-19 patients are mainly directed against β2GPI but display an epitope specificity different from antibodies in antiphospholipid syndrome.


2020 ◽  
Author(s):  
Feng Liang ◽  
Xianfeng Wang ◽  
Hui Li ◽  
Jun Chen ◽  
Lei Liu ◽  
...  

Abstract Background: Coronavirus disease 2019 (COVID-19) share similar symptoms with influenza A (IA), but it is more worthwhile to understand the disparities of the two infections regarding their clinical characteristics on admission. Methods: A total of 71 age-matched pediatric IA and COVID-19 patient pairs were formed and their clinical data on admission were compared. Results: Fever, cough, nasal congestion and nausea/vomiting were the most common symptoms on admission for both infections but occurred less often in COVID-19. The IA patients were more likely to have lower-than-normal levels of lymphocyte count and percentage and to have higher-than-normal levels of activated partial thromboplastin time, prothrombin time, serum C-reactive protein, and serum procalcitonin, while the COVID-19 patients had higher odds of having lower-than-normal levels of neutrophil count and percentage.Conclusions: This study suggests that influenza A is more symptomatic than COVID-19 for children and might be an overall more severe infection at the time of admission.


2006 ◽  
Vol 70 (5) ◽  
pp. 559-563 ◽  
Author(s):  
Ali Nasermoaddeli ◽  
Michikazu Sekine ◽  
Sadanobu Kagamimori

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Feng Liang ◽  
Xianfeng Wang ◽  
Jianbo Shao ◽  
Jun Chen ◽  
Lei Liu ◽  
...  

Abstract Background Coronavirus disease 2019 (COVID-19) share similar symptoms with influenza A (IA), but it is more worthwhile to understand the disparities of the two infections regarding their clinical characteristics on admission. Methods A total of 71 age-matched pediatric IA and COVID-19 patient pairs were formed and their clinical data on admission were compared. Results Fever, cough, nasal congestion and nausea/vomiting were the most common symptoms on admission for both infections but occurred less often in COVID-19. The IA patients were more likely to have lower-than-normal levels of lymphocyte count and percentage and to have higher-than-normal levels of activated partial thromboplastin time, prothrombin time, serum C-reactive protein, and serum procalcitonin, while the COVID-19 patients had higher odds of having lower-than-normal levels of neutrophil count and percentage. Conclusions This study suggests that influenza A is more symptomatic than COVID-19 for children and might be an overall more severe infection at the time of admission.


Sign in / Sign up

Export Citation Format

Share Document