Skip to content

Montelukast-Induced Platelet IgG Antibody, Serum/Plasma — Qualitative, Flow Cytometry

Published: August 9, 2026Updated: August 17, 2026

Detects platelet-reactive IgG antibodies triggered by montelukast, which may be associated with immune-mediated low platelet counts.

Quick summary

["A positive result can support immune thrombocytopenia related to montelukast when combined with your symptoms and platelet count."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
73259-4
Short code
Montelukast ind plt IgG SerPl Ql FC
Synonyms
Montelukast ind plt IgG SerPl Ql FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
84484
SNOMED
302774002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This blood test looks for IgG antibodies that react with platelets when the drug montelukast is present. These drug-dependent antibodies can cause the immune system to remove platelets from the bloodstream.

Why might I need this test?

It may be ordered if you developed a low platelet count, bruising, bleeding, or small red-purple spots on the skin after taking montelukast. Results are interpreted alongside your medication history, symptoms, and other blood tests.

How is the test performed?

A blood sample is collected and separated into serum or plasma. A laboratory uses flow cytometry to determine whether the sample contains IgG that binds platelets in the presence of montelukast.

How do I prepare for the test?

No fasting is usually required, but follow any instructions from the laboratory. Tell the care team which medications you take and when you last took montelukast; do not stop prescribed medication without medical advice.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result indicates that montelukast-dependent platelet-reactive IgG was detected, which can support a diagnosis of drug-induced immune thrombocytopenia. A negative result does not completely exclude a medication-related reaction, so the result must be considered with your platelet count, symptoms, and other clinical findings.

Short name

Montelukast-induced platelet IgG antibody

Frequently asked questions

What does a positive result mean?
It means antibodies that bind platelets in the presence of montelukast were detected. This may explain immune-mediated thrombocytopenia, but the finding still requires clinical correlation.
Does a negative result rule out montelukast-related thrombocytopenia?
No. Some immune drug reactions may not produce detectable antibodies with this test. Your clinician will interpret the result alongside the timing of symptoms and blood counts.
Should I stop taking montelukast because of this test?
Do not stop it on your own. If you have unusual bruising, bleeding, or other concerning symptoms while taking montelukast, contact your clinician promptly for advice about the medication.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy