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Valproate-Induced Platelet IgM Antibody, Serum/Plasma — Qualitative

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

This blood test checks for IgM antibodies directed against platelets in response to valproate, which may be associated with immune-related low platelets.

Quick summary

A positive result supports a valproate-related immune reaction affecting platelets.

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

Key facts at a glance

LOINC
73090-3
Short code
Valproate ind plt IgM SerPl Ql FC
Synonyms
Valproate ind plt IgM SerPl Ql FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
44
Ref high
147
Critical range
— – 151 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
84075
SNOMED
27550007
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 test looks for valproate-induced IgM antibodies that react with platelets, the blood cells involved in clotting. It is performed on a serum or plasma sample and provides a qualitative result.

Why might I need this test?

Your clinician may order this test if you take valproate and develop a low platelet count, unusual bruising, or bleeding. It can help evaluate whether valproate is triggering an immune reaction against platelets.

How is the test performed?

A blood sample is collected, and the laboratory separates serum or plasma for antibody testing. The result is reported as positive or negative based on the laboratory's testing method.

How do I prepare for the test?

No special preparation is usually required. Tell your healthcare team which medicines and doses you are taking, especially if you have recently started or stopped valproate. Do not change your medication without medical advice.

Reference range

Adult: 44-147 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 may indicate a valproate-triggered immune reaction involving platelets and can help explain thrombocytopenia, bruising, or bleeding. A negative result does not completely rule out a medication-related platelet reaction, so results must be interpreted with your symptoms, medication history, and other laboratory findings.

Short name

Valproate-induced platelet IgM antibody

Frequently asked questions

Does a positive result mean valproate should be stopped?
Not by itself. Contact the prescriber promptly if you have unusual bruising, bleeding, or other symptoms; medication changes should be made only with clinical guidance.
Can this test diagnose immune thrombocytopenia?
It can provide supporting evidence, but it is not used alone to diagnose immune thrombocytopenia. Your clinician will consider the platelet count, bleeding symptoms, medication exposure, and other test results.
What if the result is negative?
A negative result means the antibody was not detected by this test, but it does not exclude all forms of valproate-related thrombocytopenia. Your clinician will interpret the result in the full clinical context.
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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