Laboratory identification of cryoglobulinemia from automated blood cell counts, fresh blood samples, and blood films.

Fiche publication


Date publication

avril 2002

Journal

American journal of clinical pathology

Auteurs

Membres identifiés du Cancéropôle Est :
Dr LESESVE Jean-François


Tous les auteurs :
Fohlen-Walter A, Jacob C, Lecompte T, Lesesve JF

Résumé

Four cases showing different means to detect cryoglobulins are reported: effects on blood cell counts performed on 2 technologically different automated hematology instruments and microscopic features in fresh blood samples and on May-Grünwald-Giemsa-stained bloodfilms. These cases were chosen for their instructive value in depicting all artifacts associated with cryoglobulins. Laboratory recognition of the cryoglobulins is important to correct factitious results with automated blood cell counters, mainly pseudoleukocytosis and pseudothrombocytosis. Moreover cryoglobulin-induced laboratory artifacts may be the first factor prompting the assessment for cryoglobulinemia and the diagnosis of the underlying cause.

Mots clés

Autoanalysis, Blood Cell Count, Cryoglobulinemia, blood, Erythrocyte Count, Humans, Leukocyte Count, Lymphoma, B-Cell, complications, Multiple Myeloma, complications, Platelet Count

Référence

Am. J. Clin. Pathol.. 2002 Apr;117(4):606-14