A case of falsely elevated D-dimer result

Objectives: Heterophile antibodies can cause interferences in immunometric assays. While many tests are shown to be affected by interference from heterophilic antibodies, the D-dimer test has rarely been reported to be affected. With this case, we report an elevated D-dimer measurement which was not compatible with the clinical presentation. Case presentation: A 41-year-old patient who was admitted to hospital with heart palpitations had a D-dimer elevation irrelevant to his clinical condition. D-dimer measurements were repeated in new samples directly and after being treated in heterophilic blocking tube with two different reagent lots of a latex-based automated immunoturbidimetric assay and an immunoturbidometric assay. D-dimer values were normalized (0–0.5 mg/L) when we used a new lot of reagent on the same instrument or measured by an immunoturbidometric method on the chemistry analyzer. After treatment with HBT, all samples revealed D-dimer results within the reference ranges. Conclusions: The presence of heterophile antibodies in a sample should be considered when an elevated D-dimer value that is not compatible with the clinical presentation is encountered. Apart from the patient’s HA’s causing false results, sporadic susceptibility of the reagents should also be kept in mind as a possibility.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
A case of falsely elevated D-dimer result ; volume:47 ; number:5 ; year:2022 ; pages:686-689 ; extent:04
Turkish journal of biochemistry ; 47, Heft 5 (2022), 686-689 (gesamt 04)

Urheber
Çevlik, Tülay
Turkal, Rana
Haklar, Goncagül
Şirikçi, Önder

DOI
10.1515/tjb-2021-0262
URN
urn:nbn:de:101:1-2022103013021073840805
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:35 MESZ

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Beteiligte

  • Çevlik, Tülay
  • Turkal, Rana
  • Haklar, Goncagül
  • Şirikçi, Önder

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