Would mean platelet volume/platelet count ratio be used as a novel formula to predict 22q11.2 deletion syndrome?
dc.contributor.author | Gokturk, Bahar | |
dc.contributor.author | Guner, Sukru Nail | |
dc.contributor.author | Kara, Reyhan | |
dc.contributor.author | Kirac, Mine | |
dc.contributor.author | Keles, Sevgi | |
dc.contributor.author | Artac, Hasibe | |
dc.contributor.author | Zamani, Ayse Gul | |
dc.date.accessioned | 2024-02-23T14:29:16Z | |
dc.date.available | 2024-02-23T14:29:16Z | |
dc.date.issued | 2016 | |
dc.department | NEÜ | en_US |
dc.description.abstract | Background: The diagnosis of 22q11.2 deletion syndrome depends on a time-consuming and expensive method, fluorescence in situ hybridisation (FISH). Objectives: We aimed to determine new parameters which can aid for in the diagnosis of 22q11.2 deletion syndrome. Methods: Twenty two patients with 22q11.2 or 10p13 deletion were evaluated retrospectively. Results: Facial-dysmorphism and mental-motor retardation were detected in 100% of patients. Mean platelet (PLT) counts were lower (224,980 versus 354,000, p = 0.001), mean PLT volume (MPV) (9.95 versus 7.07, p = 0.002), and MPV/PLTx10(5) ratios (5.36 versus 2.08, p < 0.001) were higher in patients with 22q11.2 deletion compared with the control group. Area under the receiver-operator characteristic (ROC) curve was 0.864, sensitivity was 84.6%, specificity was 90.9%, positive predictive value (PPV) was 91.7%, and negative predictive value (NPV) was 83.3% when MPV was 8.6. Area under ROC curve was 0.864, sensitivity was 76.9%, specificity was 90.1%, PPV was 90.1%, and NPV was 76.3% when PLT was 265,500. Area under ROC curve was 0.906, sensitivity was 84.6%, specificity was 100%, PPV was 100%, and NPV was 84.6% when MPV/PLTx10(5) was 3.3. Expression of PLT surface markers which were not in the GPIb-V-IX receptor complex (CD61, CD41a) increased as the surface area increased, but markers which were in a complex (CD42a, CD42b) did not change. Conclusions: High MPV/PLT value can be a good predictor for the diagnosis of 22q11.2 deletion syndrome. We suggest that in patients with facial dysmorphism and retardation in neurodevelopmental milestones and if MPV >= 8.6fl, MPV/PLTx10(5) ratio >= 3.3 and PLT count <= 265,500/mm(3), the patients should be tested by FISH analysis to confirm the 22q11.2 deletion. If there are no macrothrombocytes, the 10p13 deletion should be tested in suspected cases. | en_US |
dc.identifier.doi | 10.12932/AP0604.34.2.2016 | |
dc.identifier.endpage | 173 | en_US |
dc.identifier.issn | 0125-877X | |
dc.identifier.issn | 2228-8694 | |
dc.identifier.issue | 2 | en_US |
dc.identifier.pmid | 27007839 | en_US |
dc.identifier.scopus | 2-s2.0-84982290290 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 166 | en_US |
dc.identifier.uri | https://doi.org/10.12932/AP0604.34.2.2016 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12452/14637 | |
dc.identifier.volume | 34 | en_US |
dc.identifier.wos | WOS:000382182900011 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.publisher | Allergy Immunol Soc Thailand | en_US |
dc.relation.ispartof | Asian Pacific Journal Of Allergy And Immunology | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | 22q11.2 Deletion Syndrome | en_US |
dc.subject | Digeorge Syndrome | en_US |
dc.subject | Mean Platelet Volume | en_US |
dc.subject | Platelet Count | en_US |
dc.subject | Platelet Membrane Glycoproteins | en_US |
dc.title | Would mean platelet volume/platelet count ratio be used as a novel formula to predict 22q11.2 deletion syndrome? | en_US |
dc.type | Article | en_US |