Hyperkalemia Hyperkalemia may only become apparent when a person's platelet concentration is more than 500,000/microL in a clotted blood sample (serum blood sample). Potassium leaks out of platelets after clotting has occurred. On the other hand, processing of heparinised, unclot blood does not cause falsely elevated potassium. In addition to that, high white cell count (greater than 120,000/microL) in patient with chronic lymphocytic leukemia increases red blood cells fragility, thus causing pseudohyperkalemia during blood processing. This problem can be avoided by processing serum samples, because formation of clot protect the cells from haemolysis during processing. A familial form of pseudohyperkalemia may
P-selectin glycoprotein ligand-1 is a glycoprotein found on white blood cells and endothelial cells that binds to P-selectin (P stands for platelet), which is one of a family of selectins that includes E-selectin (endothelial) and L-selectin (leukocyte). Selectins are part of the broader family of cell adhesion molecules. PSGL-1 can bind to all three members of the family but binds best (with the highest affinity) to P-selectin. PSGL-1 protein requires two distinct posttranslational modifications to gain its selectin binding activity: PSGL-1 is expressed on all white blood cells and plays an important role in the recruitment of white blood cells into inflamed tissue: