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Določanje trombocitnih protiteles pri diagnosticiranju imunske trombocitopenije
ID Grundner, Maja (Author), ID Rožman, Primož (Author), ID Skopec, Barbara (Author)

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Abstract
Imunska trombocitopenija je avtoimunska bolezen, za katero sta značilna povečana razgradnja in zmanjšano nastajanje trombocitov, ob padcu njihovega števila pa še zvečana nagnjenost h krvavitvi. Nastanek bolezni je povezan s tvorbo avto-protiteles proti trombocitom in megakariocitom, a tudi s celično posredovano imunostjo. Za bolezen so značilne krvavitve v kožo in sluznice, ki se kažejo kot hematomi, purpure, petehije ter druge krvavitve. Ker je za ustrezno zdravljenje nujno hitro postaviti pravilno diagnozo, običajno pa ni na voljo specifičnega laboratorijskega označevalca, uporabimo navadno postopek izključevanja drugih možnih vzrokov za izolirano trombocitopenijo. V pomoč pri diagnosticiranju nam je lahko tudi laboratorijska določitev trombocitnih avtoprotiteles v krvi bolnika, za katero je na voljo že kar nekaj metod. Članek obravnava imunohematološke metode za določanje in specifikacijo trombocitnih avtoprotiteles in klinično pomembnost teh preiskav.

Language:Slovenian
Keywords:imunska trombocitopenija, trombocitni membranski glikoproteini, trombocitna avtoprotitelesa, specifikacija trombocitnih avtoprotiteles, Luminex
Work type:Article
Typology:1.04 - Professional Article
Organization:MF - Faculty of Medicine
Publication status:Published
Publication version:Version of Record
Year:2024
Number of pages:Str. 421-427
Numbering:Letn. 93, št. 11/12
PID:20.500.12556/RUL-178075 This link opens in a new window
UDC:616.1
ISSN on article:1318-0347
DOI:10.6016/ZdravVestn.3546 This link opens in a new window
COBISS.SI-ID:221281283 This link opens in a new window
Publication date in RUL:19.01.2026
Views:69
Downloads:12
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Record is a part of a journal

Title:Zdravniški vestnik : glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 This link opens in a new window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.

Secondary language

Language:English
Title:ǂThe ǂplatelet antibodies testing in the diagnostics of immune thrombocytopenia
Abstract:
An autoimmune disorder - immune thrombocytopenia - is characterized by low platelet counts and increased bleeding tendency. The development of autoantibodies against megakaryocytes and platelets, together with cell-mediated immu-nity, are linked to the disease’s development. Clinically, immune thrombocytopenia is typified by bleeding into the skin and the mucous membranes, which can appear as purpura, petechiae, haematomas, bleeding from mucosal membranes, and other types of haemorrhage. Since a timely and precise diagnosis is necessary for appropriate treatment, and since there is currently no specific diagnostic laboratory test marker, the diagnosis is frequently established by excluding other possible causes for isolated thrombocytopenia. The laboratory measurement of platelet autoantibodies in the patient’s blood can be a useful aid in the diagnostics of immune thrombocytopenia, for which numerous techniques exist. The man-uscript covers immunohaematological techniques for identifying and characterizing platelet autoantibodies as well as the practical applications of these assays.

Keywords:immune thrombocytopenia, platelet membrane glycoproteins, platelet autoantibodies, autoantibodies specification, Luminex

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