Journal of Diagnostics Concepts & Practice >
Research on correlation between results of diluted Russell viper venom time (dRVVT) test and mixing test in detection of lupus anticoagulant
Received date: 2019-12-02
Online published: 2020-02-25
Objective: To investigate the correlation between diluted Russell viper venom time(dRVVT) test and mixing test in detection of lupus anticoagulant (LA) and their methodological characteristics. Methods: The clinical data of 31 patients with coagulation dysfunction and positive LA were collected from Ruijin Hospital, Shanghai Jiao Tong University from September 2015 to September 2019. The correlation between the results of standardized ratio of dRVVT and mixing test (Rosner index) was analyzed, and the similarities and differences of the two methods were explored. Results: The scatter diagram revealed that the standardized ratio of dRVVT had a close correlation with the activated partial thromboplastin time(APTT), R1 and R2. Pearson correlation analysis showed that there was a significant correlation between the standardized ratio of dRVVT and the results of mixing test(r: 0.54-0.62). Conclusions: Although there is a significant correlation between dRVVT based on common pathway and the mixing test based on both intrinsic pathway and common pathway, yet it is not a strict linear correlation. The two methods cannot be completely replaced by each other in the detection of lupus anticoagulant, and it is suggested that the combined use of the two methods can improve the detection rate of lupus anticoagulant and reduce the misdiagnosis and missed diagnosis.
ZHU Chao, GUAN Jialiang, LI Zhe, LIU Yu, WANG Xuefeng, WU Wenman . Research on correlation between results of diluted Russell viper venom time (dRVVT) test and mixing test in detection of lupus anticoagulant[J]. Journal of Diagnostics Concepts & Practice, 2020 , 19(1) : 28 -31 . DOI: 10.16150/j.1671-2870.2020.01.007
[1] | 中华医学会风湿病学分会. 抗磷脂综合征诊断和治疗指南[J]. 中华风湿病学杂志, 2011, 15(6):407-410. |
[2] | Pengo V, Tripodi A, Reber G, et al. Update of the guidelines for lupus anticoagulant detection. Subcommittee on Lupus Anticoagulant/Antiphospholipid Antibody of the Scientific and Standardisation Committee of the International Society on Thrombosis and Haemostasis[J]. J Thromb Haemost, 2009, 7(10):1737-1740. |
[3] | CLSI. Laboratory Testing for the lupus anticoagulant; Approved Guideline CISI. document H60-A[S]. Wayne, PA: Clinical and Laboratory Standards Institute, 2014. |
[4] | Rosner E, Pauzner R, Lusky A, et al. Detection and quantitative evaluation of lupus circulating anticoagulant activity[J]. Thromb Haemost, 1987, 57(2):144-147. |
[5] | Bowie EJ, Thompson JH, Pascuzzi CA, et al. Thrombosis in systemic lupus erythematosus despite circulating anticoagulants[J]. J Lab Clin Med, 1963, 62:416-430. |
[6] | Million M, Raoult D. The pathogenesis of the antiphospholipid syndrome[J]. N Engl J Med, 2013, 368(24):2335. |
[7] | Galli M, Luciani D, Bertolini G, et al. Lupus anticoagulants are stronger risk factors for thrombosis than anticardiolipin antibodies in the antiphospholipid syndrome: a systematic review of the literature[J]. Blood, 2003, 101(5):1827-1832. |
[8] | Miyakis S, Lockshin MD, Atsumi T, et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome(APS)[J]. J Thromb Haemost, 2006, 4(2):295-306. |
[9] | Tripodi A, Biasiolo A, Chantarangkul V, et al. Lupus anticoagulant (LA) testing: performance of clinical laboratories assessed by a national survey using lyophilized affinity-purified immunoglobulin with LA activity[J]. Clin Chem, 2003, 49(10):1608-1614. |
[10] | Kershaw G, Suresh S, Orellana D, et al. Laboratory identification of lupus anticoagulants[J]. Semin Thromb Hemost, 2012, 38(4):375-384. |
[11] | Chantarangkul V, Biguzzi E, Asti D, et al. Laboratory dia-gnostic outcome applying detection criteria recommended by the Scientific and Standardization Committee of the ISTH on Lupus Anticoagulant[J]. Thromb Haemost, 2013, 110(1):46-52. |
[12] | Devreese KM. No more mixing tests required for integra-ted assay systems in the laboratory diagnosis of lupus anticoagulants?[J]. J Thromb Haemost, 2010, 8(5):1120-1122. |
[13] | Swadzba J, Iwaniec T, Pulka M, et al. Lupus anticoagulant: performance of the tests as recommended by the la-test ISTH guidelines[J]. J Thromb Haemost, 2011, 9(9):1776-1783. |
[14] | Favaloro EJ, Bonar R, Zebeljan D, et al. Laboratory investigation of lupus anticoagulants: mixing studies are sometimes required[J]. J Thromb Haemost, 2010, 8(12):2828-2831. |
/
〈 |
|
〉 |