Table 1. Serologic workup of the patient .
Test | Result | Reference range |
ANA screen | <80 | <80 titer |
Anti-Smith antibody | <0.2 | <1 AI |
Anti-RNP antibody | <0.4 | <1 AI |
Anti-SSA | <0.2 | <1 AI |
Anti-SSB | <0.2 | <1 AI |
Rheumatoid factor screen | 13 | <25 IU/mL |
Cold agglutinins | <1:32 | <1:32 |
Centromere antibody | <0.2 | <1 AI |
Myeloperoxidase antibody | <0.2 | <1 AI |
Serine protease 3 antibody | <0.2 | <1 AI |
Complement C3 | 101 | 88-200 mg/dL |
Complement C4 | <8.0 | 10-49 mg/dL |
Jo 1 antibody | <0.2 | <1 AI |
SCL70 antibody | <0.2 | <1 AI |
Beta-2 glycoprotein 1 AB IgG | <1.4 | <20 U/mL |
Beta-2 glycoprotein 1 AB IgM | 0.2 | <20 U/mL |
Anti-CCP IgG | <0.5 | <3 U/mL |
Cardiolipin IgG | <1.6 | <20 GPL/mL |
Cardiolipin IgM | <0.2 | <20 MPL/mL |
Dilute Russell's viper venom | 1.1 | <1.3 ratio |
Hexagonal lupus anticoagulant | 3s | Negative |
IgG | 536 | 762-1488 mg/dL |
IgM | 884 | 38-328 mg/dL |
IgA | 45 | 70-390 mg/dL |
ESR | 79 | 0-22 mm/hr |
CRP | 2.8 | <1.0 mg/dL |
Serum viscosity | 1.2 | ≤1.5 cPoise |
Cryoglobulins | 4% | Negative |
Immunofixation cryoglobulin | Type I (monoclonal IgM kappa) | Negative |