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Abstract

Splenectomy-Related Red Cell Lysis Resistance Causing Analytical Difficulty in a Patient with a Hematological Malignancy by Barry Kevane, Anna Dowd, Aine Lennon, Christopher L. Bacon, Anne Fortune

A patient with a history of chronic lymphocytic leukaemia and a previous splenectomy underwent full blood count analysis in a general hospital. Her medical care had previously taken place in a different institution. A CELLDYN Sapphire analyser measured her lymphocyte count at ten-fold higher than her known baseline. The sample was sent to her previous hospital, where the laboratory utilises an ADVIA-2120i analyser. The results of this analysis were in keeping with her baseline. The spurious result appears to be related to red cell lysis resistance following splenectomy; however, this resistance appeared to be specific to the analytical method used.

DOI: 10.7754/Clin.Lab.2014.140308