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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Anti-PF4 disorders with heparin-independent platelet-activating properties

Anti-PF4 disorders with heparin-independent platelet-activating properties
Clinical entity Description
aHIT disorders (autoimmune, heparin-induced)
Delayed-onset HIT HIT that begins or worsens after stopping of heparin
Refractory (also called persisting) HIT HIT that persists for >1 week despite stopping of heparin
Heparin flush HIT HIT that is induced by exposure to heparin flushes
Fondaparinux-associated HIT HIT that is believed to be triggered by exposure to fondaparinux
Severe HIT with overt DIC HIT with unusually severe thrombocytopenia (platelet count <20,000/microL) or with 1 or more of the following:
  • Relative/absolute hypofibrinogenemia
  • Elevated INR without another explanation
  • Normoblastemia (circulating nucleated RBCs)
  • Microvascular thrombosis
Non-heparin-induced anti-PF4 disorders
VITT Anti-PF4 antibodies, associated with proximal exposure to an adenoviral vectored COVID-19 vaccine, that activate platelets in the absence of heparin
Spontaneous HIT (spHIT) Disorder that clinically and serologically mimics HIT despite absence of proximate* exposure to heparin or vaccination (eg, after knee replacement surgery)
Spontaneous VITT (spVITT) Disorder that clinically and serologically mimics VITT despite absence of proximate* exposure to heparin or vaccination (eg, post-adenoviral infection)
Differences in the antibody characteristics of these syndromes are discussed separately in UpToDate. Refer to topics on HIT and VITT for details.

aHIT: autoimmune HIT; COVID-19: coronavirus disease 2019; DIC: disseminated intravascular coagulation; HIT: heparin-induced thrombocytopenia; INR: international normalized ratio; PF4: platelet factor 4; RBCs: red blood cells; VITT: vaccine-induced immune thrombotic thrombocytopenia.

* Proximate refers to exposure within approximately the previous 3 months.
Adapted from: Greinacher A, Selleng K, Warkentin TE. Autoimmune heparin-induced thrombocytopenia. J Thromb Haemost 2017; 15:2099.
Graphic 116418 Version 4.0

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