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Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis.

Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Research Abstract Details 

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  • Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Abstract Text:

    takefumi matsuoTakefumi Matsuo,hiroko kobayashiHiroko Kobayashi,miyako matsuoMiyako Matsuo,keiko wanakaKeiko Wanaka,hidetomo nakamotoHidetomo Nakamoto,hiroyuki matsushimaHiroyuki Matsushima,rumi sakaiRumi Sakai,takefumi matsuoTakefumi Matsuo,hiroko kobayashiHiroko Kobayashi,miyako matsuoMiyako Matsuo,keiko wanakaKeiko Wanaka,hidetomo nakamotoHidetomo Nakamoto,hiroyuki matsushimaHiroyuki Matsushima,rumi sakaiRumi Sakai,

    The aim of this study was to determine the frequency of heparin/platelet factor (PF) 4 complex antibodies in 305 uremic patients treated with chronic intermittent hemodialysis using unfractionated heparin or low-molecular-weight heparin for 3 months. Heparin-induced thrombocytopenia (HIT) antibodies were detected by ELISA in 7 patients (2.3%) who had no history of HIT. Two patients abruptly developed HIT associated with the formation of clots in the extracorporeal circuit after they were found to be carrying HIT antibodies. These patients were suspected to have a similar trigger: an increased dose of recombinant human erythropoietin (rHuEPO). The drug might induce parallel changes in hematocrit (Ht) levels and platelet counts until the onset of HIT. After the onset of HIT, a parallel phenomenon between Ht and platelet counts was not found because of the thrombocytopenia due to HIT. Although HIT onset has been reported during the initial phase of dialysis sessions, there have been few reports on the onset of HIT in uremic patients on dialysis with long-term heparin anticoagulation. In this study, HIT was observed in 2 uremic patients on chronic dialysis with intermittent use of heparin. In some patients on chronic intermittent dialysis carrying HIT antibodies, HIT may occur following rHuEPO treatment. The presence of HIT should be borne in mind in chronic dialysis patients carrying HIT antibodies for 3 months or more.

    Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Publishing Authors By Initials

    t matsuoT Matsuo,h kobayashiH Kobayashi,m matsuoM Matsuo,k wanakaK Wanaka,h nakamotoH Nakamoto,h matsushimaH Matsushima,r sakaiR Sakai,t matsuoT Matsuo,h kobayashiH Kobayashi,m matsuoM Matsuo,k wanakaK Wanaka,h nakamotoH Nakamoto,h matsushimaH Matsushima,r sakaiR Sakai,

    For similar abstracts research abstracts see: abstracts research

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    Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Pathophysiology of haemostasis and thrombosis

    VOLUME: 35

    Page Numbers: 445-50

    Journal Abbreviation: Pathophysiol. Haemost. Thromb.

    ISSN: 1424-8832

    DAY: 13

    MONTH: 06

    YEAR: 2006

    Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Information

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    LANGUAGE: eng

    NlmUniqueID: 101142710

    Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis. Keywords Mesh Terms:

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    Grant and Affiliation Information for Frequency of anti-heparin-PF4 complex antibodies (HIT antibodies) in uremic patients on chronic intermittent hemodialysis.

    AFFILIATION: Hyogo Prefectural Awaji Hospital, Sumoto, Japan. matsuo-t@awaji-hosp.sumoto.hyogo.jp

    Country: Switzerland

    Switzerland Research PublicationSwitzerland Research Publication

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    MEDLINETA: Pathophysiol Haemost Thromb

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