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Utilization of Mean Peroxidase Index for Discrimination of Pseudoneutropenia
Laboratory Medicine Online ; : 1-5, 2013.
Artigo em Coreano | WPRIM | ID: wpr-170617
ABSTRACT

BACKGROUND:

Autoanalyzer ADVIA2120 uses intracellular peroxidase concentration to perform white blood cell (WBC) differential. Therefore, in specimens containing neutrophils with low peroxidase concentration, neutrophils can be miscounted as monocytes or large unstained cells resulting in pseudoneutropenia. Myeloperoxidase deficiency can be detected by the mean peroxidase index (MPXI). The aims of this study are to establish the reference interval of MPXI and define a cut off value for manual slide review to discriminate pseudoneutropenia.

METHODS:

We calculated reference intervals as mean+/-2SD according to the indirect method of CLSI C28-A3 guideline from MPXI data of 5,802 individuals who took routine health checkup from April 2010 to June 2012. We performed manual slide review on specimens with low MPXI and compared neutrophil differential count of manual method with that of autoanalyzer. When neutrophil differential in manual slide review was >20%P higher than autoanalyzer result, it was regarded as a pseudoneutropenia. We performed ROC analysis using the MPXI results of samples with and without pseudoneutropenia to define a cutoff to discriminate pseudoneutropenia.

RESULTS:

The reference intervals of MPXI in total population, male, and female were -4.9 to 7.5, -5.5 to 7.3, and -4.5 to 7.5, respectively. The mean value of MPXI was significantly higher in female than in male and there was no difference by age. Twenty-two pseudoneutropenia samples from 7 patients were identified. ROC analysis yielded cutoff value of -20.7 with 94.9% of sensitivity and 77.3% of specificity.

CONCLUSIONS:

MPXI may be used in the manual slide review guideline for detecting pseudoneutropenia.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Monócitos / Curva ROC / Peroxidase / Discriminação Psicológica / Leucócitos / Erros Inatos do Metabolismo / Neutrófilos Tipo de estudo: Estudo prognóstico Limite: Feminino / Humanos / Masculino Idioma: Coreano Revista: Laboratory Medicine Online Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Monócitos / Curva ROC / Peroxidase / Discriminação Psicológica / Leucócitos / Erros Inatos do Metabolismo / Neutrófilos Tipo de estudo: Estudo prognóstico Limite: Feminino / Humanos / Masculino Idioma: Coreano Revista: Laboratory Medicine Online Ano de publicação: 2013 Tipo de documento: Artigo