Table 2.

Clinical parameters and VITT diagnostic results of VITT-negative samples

PatientPlatelet nadir (×109/L)Clinical symptomsSymptoms onset (no. of days after vaccination)Anti-PF4-heparin IgG ELISA (OD)*PF4-dependent platelet-activation assay (activated cells)IvIgG prior blood withdrawalMAIPA
GPIIb/IIIa antibodiesGPIb/IX antibodiesGPIa/IIa antibodies
Male, 30 y 110 Petechia, known primary sclerosing cholangitis 0.23 Negative No 0.78 2.105 2.195 
Male, 62 y 111 Thrombosis (site of thrombosis not indicated) 14 0.15 Negative Yes 0.21 0.17 0.355 
Female, 30 y 55 Initially with headache, fever, limb pain and flu-like syndroms; elevated d-dimer level 0.14 Negative No 0.08 0.515 0.105 
Female, 73 y 30 Not indicated 17 0.35 Negative No 0.52 0.9 0.895 
Male, 59 y 17 Gastric mucosal bleeding 45 0.44 Negative Yes 0.23 0.29 0.36 
Male, 78 y Petechia, epistaxis 20 0.38 Negative Yes 1.145 0.52 0.65 
Male, 69 y Petechia and oral bleeding, discomfort Not known 0.1 Negative No 0.555 0.865 0.385 
Male, 71 y Not known 10 0.1 Negative Not known 0.665 1.28 0.75 
Female, 21 y 13 Petechia, hematoma ∼21 0.27 Negative Not known 0.215 0.185 0.25 
Male, 62 y Petechia 15 0.34 Negative Yes 0.21 0.245 0.325 
Female, 70 y 110 Not known Not known 0.26 Negative Not known 0.09 0.145 1.535 
PatientPlatelet nadir (×109/L)Clinical symptomsSymptoms onset (no. of days after vaccination)Anti-PF4-heparin IgG ELISA (OD)*PF4-dependent platelet-activation assay (activated cells)IvIgG prior blood withdrawalMAIPA
GPIIb/IIIa antibodiesGPIb/IX antibodiesGPIa/IIa antibodies
Male, 30 y 110 Petechia, known primary sclerosing cholangitis 0.23 Negative No 0.78 2.105 2.195 
Male, 62 y 111 Thrombosis (site of thrombosis not indicated) 14 0.15 Negative Yes 0.21 0.17 0.355 
Female, 30 y 55 Initially with headache, fever, limb pain and flu-like syndroms; elevated d-dimer level 0.14 Negative No 0.08 0.515 0.105 
Female, 73 y 30 Not indicated 17 0.35 Negative No 0.52 0.9 0.895 
Male, 59 y 17 Gastric mucosal bleeding 45 0.44 Negative Yes 0.23 0.29 0.36 
Male, 78 y Petechia, epistaxis 20 0.38 Negative Yes 1.145 0.52 0.65 
Male, 69 y Petechia and oral bleeding, discomfort Not known 0.1 Negative No 0.555 0.865 0.385 
Male, 71 y Not known 10 0.1 Negative Not known 0.665 1.28 0.75 
Female, 21 y 13 Petechia, hematoma ∼21 0.27 Negative Not known 0.215 0.185 0.25 
Male, 62 y Petechia 15 0.34 Negative Yes 0.21 0.245 0.325 
Female, 70 y 110 Not known Not known 0.26 Negative Not known 0.09 0.145 1.535 
*

PF4–heparin enzyme-linked immunosorbent assay (ELISA) was done as described by Juhl et al.27 Reactivity on ELISA was defined according to the optical-density units (reference value OD < 0.50).

PF4-dependent platelet-activation assay was performed as recently described by Greinacher et al.49 The cutoff for a negative result is 0.50 optical-density units.

The cutoff for a negative result is OD < 0.2. Italic entries represent antiplatelet antibody detection.

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