Table 1.
Laboratory findings on admission
Peripheral blood | WBC | 5300/μL |
Neut | 48.9% | |
Ly | 39.0% | |
Mono | 7.7% | |
Eo | 1.6% | |
Ba | 0.1% | |
RBC | 422 × 104/μL | |
Hb | 12.0 g/dL | |
Ht | 38.3%↓ | |
MCV | 90.8 fl | |
MCH | 28.6 pg | |
Plt | 18.7 × 104/μL | |
Reti | 1.3% | |
Urinalysis | pH | 6.5 |
Specific gravity | 1.019 | |
Protein | - | |
Occult blood | 3+ | |
Biochemistry | T.P | 9.1 g/dL |
Alb | 2.9 g/dL↓ | |
AST | 15 IU/L | |
ALT | 16 IU/L | |
LDH | 183 IU/L | |
ALP | 295 IU/L | |
g-GTP | 15 IU/L | |
T-Bil | 0.5 mg/dL | |
BUN | 15 mg/dL | |
Cr | 0.57 mg/dL | |
Uric acid | 4.4 mg/dL | |
CRP | 0.3 mg/dL | |
Thyroid function test | TSH | ≤ 0.010 μIU/mL↓ |
FT3 | 7.46 pg/mL | |
FT4 | 2.83 ng/dL | |
Thyroglobulin | 18.1 ng/mL | |
I-PTH | 50 pg/mL | |
Immunoserological findings | IgG | 4694 mg/dL |
IgA | 53 mg/dL↓ | |
IgM | 63 mg/dL | |
IgD | 2.1 mg/dL | |
Serum b2MG | 2.1 mg/dL | |
Immunoelectrophoresis (specific antiserum) | IgG-κ positive | |
Immunoelectrophoresis (urine) | IgG-κ positive | |
ANA | 160 × | |
Homogen | 40 × | |
Speckle | 160 × | |
Anti-DNA antibody | ≤ 2.0 | |
RF | 24 IU/mL | |
MMP-3 | 38.7 ng/mL | |
Antithyroglobulin antibody | 104 IU/mL | |
TRACP-5b | 104 mU/dL↓ | |
TSAB (RIA) | 109% | |
Antibody to TSH receptor | 3.7 IU/L | |
Anti-TPO antibody (ECLIA) | 122 IU/mL | |
Anti-HIV antibody | Negative | |
EBV VCA IgG | 20 × | |
EBV VCA IgM | < 10 × | |
EBV EBNA | 10 × | |
EBV DNA | Negative | |
Findings in bone marrow smear examination | No. of nucleated cells | 70.5 × 104/μL |
Megakaryocyte count | 72/mL | |
M:E ratio | 2.02 | |
Plasma cell | 76.4% | |
Marrow blood flow cytometry | CD19 | 1.3% |
CD20 | 14.5% | |
CD45 | 4.2% | |
CD49e | 2.7% | |
CD52 | 6.9% | |
CD54 | 24.3% | |
CD56 | 97.3% | |
CD126 | 1.8% | |
CD138 | 59.7% | |
MPC-1 | 56.6% | |
κ | 88.7% | |
λ | 0.2% | |
Marrow blood chromosomes | G-banding | 46, XX 20/20 |
FISH | 13q deletion, 27% | |
FISH | t(4;14), 23% |
Denotes above the upper limit of the reference range;
denotes below the lower limit of the reference range.