Acute Leukemia, Hemorrhagic Disorders, Immune Thrombocytopenia, Thrombocytopathy
Conditions
Brief summary
The purpose of this study is to develop a highly sensitive method for assessing the functional activity of platelets for use in the differential diagnosis of thrombocytopenia and platelet defects.
Detailed description
The purpose of this study is to develop a highly sensitive method for assessing the functional activity of platelets using flow cytometry and turbidimetric and impedance aggregometry for use in the differential diagnosis of thrombocytopenia and platelet defects
Interventions
Parameters such as FSC, SSC, median fluorescence of anti CD42b, PAC-1, CD41, CD63, CD62P, as well as Annexin V fluorescence will be assessed.
Turbodimetric platelet aggregation test, impedance platelet aggregation test. Standard plasma coagulation test (fibrinogen level, prothrombin test, thrombin time, activated partial thromboplastin time (aPTT)).
Sponsors
Study design
Eligibility
Inclusion criteria
* Pediatric participants with hemorrhagic syndrome (hemorrhagic rash, bruising, bleeding, increased bleeding of the skin and mucous membranes, spontaneous hemorrhages in soft tissues and joints) * Pediatric participants with acute leukemia * Parameters of the plasma level of blood coagulation correspond to the age normal levels
Exclusion criteria
* Anticoagulation drug therapy * Antiaggregation drug therapy * Biologically active additives
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prothrombin test | baseline | Assessment of blood coagulation using Prothrombin test |
| Thrombin time | baseline | Assessment of blood coagulation using Thrombin time test |
| aPTT | baseline | Assessment of blood coagulation using aPTT |
| Expression of CD42b by platelets | baseline | Assessment of platelet functional activity by the detection of CD42b |
| Expression of CD41 by platelets | baseline | Assessment of platelet functional activity by the detection of CD41 |
| Expression of PAC-1 by platelets | baseline | Assessment of platelet functional activity by the detection of PAC-1 |
| Expression of CD63 by platelets | baseline | Assessment of platelet functional activity by the detection of CD63 |
| Expression of CD62p by platelets | baseline | Assessment of platelet functional activity by the detection of CD62p |
| Expression of Annexin V by platelets | baseline | Assessment of platelet functional activity by the detection of Annexin V |
| Level of platelet aggregation | baseline | Assessment of platelet functional activity by turbidimetric aggregometry |
| Impedance of platelet aggregates | baseline | Assessment of platelet functional activity by impedance aggregometry |
| Fibrinogen level | baseline | Assessment of blood coagulation using Fibrinogen level test |