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pubmed-article:11958670pubmed:issue5lld:pubmed
pubmed-article:11958670pubmed:dateCreated2002-4-17lld:pubmed
pubmed-article:11958670pubmed:abstractTextA number of classes of endogenous antibodies, including heterophile, rheumatoid factor, and autoantibodies, can interfere with immunoassay measurements of many different analytes. Heterophile and rheumatoid factor antibody interferences have been described previously for the AxSYM cardiac troponin I assay. Several commercial products have been developed to neutralize heterophile antibody interferences. We describe a patient with multiple apparently falsely elevated cardiac troponin I results that were unique to the AxSYM analyzer. These cardiac troponin I results diluted linearly. When treated with 2 different heterophile-blocking reagents, the magnitudes of the falsely elevated results increased 17- and 26-fold, and these results also demonstrated dilution linearity. This interfering substance could be removed by passage through an immobilized protein A column and by polyethylene glycol precipitation. It does not appear to be a classic heterophile antibody, nor is it a paraprotein. Laboratorians must remain constantly vigilant for immunoassay interferences that lead to clinically significant inaccurate results and must recognize that accepted methods for detecting and neutralizing the interference may be ineffective.lld:pubmed
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pubmed-article:11958670pubmed:statusMEDLINElld:pubmed
pubmed-article:11958670pubmed:monthMaylld:pubmed
pubmed-article:11958670pubmed:issn0003-9985lld:pubmed
pubmed-article:11958670pubmed:authorpubmed-author:AppleFred SFSlld:pubmed
pubmed-article:11958670pubmed:authorpubmed-author:RobertsWillia...lld:pubmed
pubmed-article:11958670pubmed:authorpubmed-author:KnoblockRonal...lld:pubmed
pubmed-article:11958670pubmed:authorpubmed-author:LehmanChristo...lld:pubmed
pubmed-article:11958670pubmed:authorpubmed-author:SmithRuth ARAlld:pubmed
pubmed-article:11958670pubmed:issnTypePrintlld:pubmed
pubmed-article:11958670pubmed:volume126lld:pubmed
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pubmed-article:11958670pubmed:authorsCompleteYlld:pubmed
pubmed-article:11958670pubmed:pagination606-9lld:pubmed
pubmed-article:11958670pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:11958670pubmed:year2002lld:pubmed
pubmed-article:11958670pubmed:articleTitleFalse-positive AxSYM cardiac troponin I results in a 53-year-old woman.lld:pubmed
pubmed-article:11958670pubmed:affiliationDivision of Clinical Pathology, Department of Pathology, University of Utah Health Sciences Center, Salt Lake City, Utah 84108, USA.lld:pubmed
pubmed-article:11958670pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:11958670pubmed:publicationTypeCase Reportslld:pubmed
pubmed-article:11958670pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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