Clinical parameters and VITT diagnostic results of VITT-negative samples
Patient . | Platelet nadir (×109/L) . | Clinical symptoms . | Symptoms onset (no. of days after vaccination) . | Anti-PF4-heparin IgG ELISA (OD)* . | PF4-dependent platelet-activation assay (activated cells)† . | IvIgG prior blood withdrawal . | MAIPA‡ . | ||
---|---|---|---|---|---|---|---|---|---|
GPIIb/IIIa antibodies . | GPIb/IX antibodies . | GPIa/IIa antibodies . | |||||||
Male, 30 y | 110 | Petechia, known primary sclerosing cholangitis | 2 | 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 | 1 | 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 | 4 | Petechia, epistaxis | 20 | 0.38 | Negative | Yes | 1.145 | 0.52 | 0.65 |
Male, 69 y | 5 | Petechia and oral bleeding, discomfort | Not known | 0.1 | Negative | No | 0.555 | 0.865 | 0.385 |
Male, 71 y | 2 | 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 | 5 | 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 |
Patient . | Platelet nadir (×109/L) . | Clinical symptoms . | Symptoms onset (no. of days after vaccination) . | Anti-PF4-heparin IgG ELISA (OD)* . | PF4-dependent platelet-activation assay (activated cells)† . | IvIgG prior blood withdrawal . | MAIPA‡ . | ||
---|---|---|---|---|---|---|---|---|---|
GPIIb/IIIa antibodies . | GPIb/IX antibodies . | GPIa/IIa antibodies . | |||||||
Male, 30 y | 110 | Petechia, known primary sclerosing cholangitis | 2 | 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 | 1 | 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 | 4 | Petechia, epistaxis | 20 | 0.38 | Negative | Yes | 1.145 | 0.52 | 0.65 |
Male, 69 y | 5 | Petechia and oral bleeding, discomfort | Not known | 0.1 | Negative | No | 0.555 | 0.865 | 0.385 |
Male, 71 y | 2 | 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 | 5 | 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.