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  • Title: [Combined indicators for diagnosing immune thrombocytopenic purpura].
    Author: Zhou J, Jiang NG, Kuang LH, Liao J.
    Journal: Sichuan Da Xue Xue Bao Yi Xue Ban; 2008 Nov; 39(6):1000-3. PubMed ID: 19253846.
    Abstract:
    OBJECTIVE: To search for the best combined indicators for diagnosing immune thrombocytopenic purpura (ITP). METHODS: Reticulated platelet (RP), thrombopoietin (TPO), platelet-associated immunoglobulins (PAIgG, by ELISA), mean platelet volume (MPV), platelet distribution width (PDW), platelet-large cell ratio(P-LCR) by flow cytometry), and automated blood cytometer were tested in three groups of people: patients with ITP (n=45), healthy people (n=45), and patients without ITP (n=42). Receiver operating characteristic (ROC) curve, LSD-t test, logistic regression, and correlation analysis were performed to identify the best indicators for diagnosing ITP. RESULTS: The patients with ITP had higher levels of RP, MPV, PDW, P-LCR, and PAIgG than the healthy people and the patients without ITP (P<0.05). The patients without ITP had higher TPO than the healthy people and the patients with ITP (P<0.05). RP and PAIgG were sensitive indicators to ITP. PR was correlated to the diagnosis of ITP (chi2=10.458, P=0.001). CONCLUSION: Individual indicator has limited diagnostic values for ITP, which could be improved by a combination of the indicators.
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