Table 3.
Complement serology at TMA episode
Patient | 7 | 9 | 24 | 27 | Reference range | |
---|---|---|---|---|---|---|
TCA, classical pathway | 84 | 16a | 63 | 76 | 48–103 CH50/ml | |
TCA, alternative pathway | 110 | 1a | 68a | 112 | 70–125 % | |
Complement C3 | 1.39 | 1.13 | 0.78a | 1.0 | 0.9–1.8 g/l | |
Complement C4 | 0.64 | 0.28 | 0.39 | 0.38 | 0.15–0.55 g/l | |
Factor H ag | 775 | 231a | 333 | 366 | 250–880 mg/l | |
Complement factor I ag | 111 | 59a | 74 | 90 | 70–130% | |
Complement factor B ag | 135 | 76 | 106 | 82 | 70–130% | |
Anti-factor H IgG autoantibody | 25 | n.a. | n.a. | 18 | <110 AU/ml | |
sC5b-9 (TCC) | n.a. | 363a | 384a | 436a | 110–252 ng/ml | |
C1q ag | 100 | 56 | 69 | 115 | 60–180 mg/l | |
Anti-C1q IgG autoantibody | 1 | n.a. | n.a. | 2 | <52 U/ml | |
ADAMTS13 activity | 84 | n.a. | 65 | 59 | 67–150 % |
ADAMTS13, a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13; ag, antigen; n.a., not available; TCA, total complement activity; TCC, terminal complement complex.
Values that do not lie within the reference range and are clinically relevant.