Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia

Objective: To evaluate the utility of immature platelet fraction (IPF) as a marker in immune thrombocytopenia purpura (ITP) patients. Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of Haematology, Chughtai Institute of Pathology, Lahore Pakistan, from...

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Main Authors: Zahra Rashid Khan, Ayisha Imran, N.A.Malik
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-10-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/PAFMJ/article/view/6728
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author Zahra Rashid Khan
Ayisha Imran
N.A.Malik
author_facet Zahra Rashid Khan
Ayisha Imran
N.A.Malik
author_sort Zahra Rashid Khan
collection DOAJ
description Objective: To evaluate the utility of immature platelet fraction (IPF) as a marker in immune thrombocytopenia purpura (ITP) patients. Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of Haematology, Chughtai Institute of Pathology, Lahore Pakistan, from Aug to Nov 2020. Methodology: Sixty patients (Group-1) of immune thrombocytopenia purpura were selected. Sixty healthy individuals (Group-2) with normal blood count parameters were also included. A complete blood count with simultaneous evaluation of immature platelet fraction was performed for both groups on 3ml peripheral blood collected in K2EDTA. To check the reproducibility of results, each sample was run in duplicate. Results: Group-1 had a mean platelet count of 43.77±32.82 x109 /L (range 2-98x109/L), a mean immature platelet fraction of 12.93±6.11% (range 3–25%) and a mean age 36.68±7.53 years, (range 22–56 years). Group-2 had a mean platelet count of 251.7±83.55 x109 /L (range 150-450 x109 /L), a mean immature platelet fraction of 3.78±1.86 %, (range 1-7.2%) and a mean age of 36.42±6.94 years, (range 22–55 years). ROC curve analysis yielded an immature platelet fraction value of 7.0% as the cut-off between immune thrombocytopenic purpura patients and healthy individuals. Conclusion: Immature platelet fraction, though novel, is a useful marker to diagnose and monitor treatment response, diagnosis and management of immune thrombocytopenic purpura.
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spelling doaj.art-18443e01acbb4e28b1f95d90ae0b34932024-01-29T08:27:24ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-10-0173510.51253/pafmj.v73i5.6728Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated ThrombocytopeniaZahra Rashid Khan0Ayisha Imran1N.A.Malik2Department of Pathology, NUST School of Health Sciences, NUST Islamabad PakistanDepartment of Pathology, Chughtai Institute of Pathology, Lahore PakistanDepartment of Pathology, Chughtai Institute of Pathology, Lahore Pakistan Objective: To evaluate the utility of immature platelet fraction (IPF) as a marker in immune thrombocytopenia purpura (ITP) patients. Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of Haematology, Chughtai Institute of Pathology, Lahore Pakistan, from Aug to Nov 2020. Methodology: Sixty patients (Group-1) of immune thrombocytopenia purpura were selected. Sixty healthy individuals (Group-2) with normal blood count parameters were also included. A complete blood count with simultaneous evaluation of immature platelet fraction was performed for both groups on 3ml peripheral blood collected in K2EDTA. To check the reproducibility of results, each sample was run in duplicate. Results: Group-1 had a mean platelet count of 43.77±32.82 x109 /L (range 2-98x109/L), a mean immature platelet fraction of 12.93±6.11% (range 3–25%) and a mean age 36.68±7.53 years, (range 22–56 years). Group-2 had a mean platelet count of 251.7±83.55 x109 /L (range 150-450 x109 /L), a mean immature platelet fraction of 3.78±1.86 %, (range 1-7.2%) and a mean age of 36.42±6.94 years, (range 22–55 years). ROC curve analysis yielded an immature platelet fraction value of 7.0% as the cut-off between immune thrombocytopenic purpura patients and healthy individuals. Conclusion: Immature platelet fraction, though novel, is a useful marker to diagnose and monitor treatment response, diagnosis and management of immune thrombocytopenic purpura. https://www.pafmj.org/PAFMJ/article/view/6728Immature platelet fraction (IPF)Immune-mediated thrombocytopenic purpura (ITP)Reticulated platelets
spellingShingle Zahra Rashid Khan
Ayisha Imran
N.A.Malik
Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
Pakistan Armed Forces Medical Journal
Immature platelet fraction (IPF)
Immune-mediated thrombocytopenic purpura (ITP)
Reticulated platelets
title Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
title_full Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
title_fullStr Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
title_full_unstemmed Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
title_short Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
title_sort utility of immature platelet fraction as diagnostic biomarker for isolated thrombocytopenia
topic Immature platelet fraction (IPF)
Immune-mediated thrombocytopenic purpura (ITP)
Reticulated platelets
url https://www.pafmj.org/PAFMJ/article/view/6728
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AT ayishaimran utilityofimmatureplateletfractionasdiagnosticbiomarkerforisolatedthrombocytopenia
AT namalik utilityofimmatureplateletfractionasdiagnosticbiomarkerforisolatedthrombocytopenia