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. 2015 Nov 4;93(5):1082–1086. doi: 10.4269/ajtmh.15-0052

Table 2.

Clinical characteristics of T2R in three different patients

Case 1 Case 2 Case 3
Symptoms Fever, abdominal pain, nasal stuffiness, back pain Joint/extremity swelling, nodular rash (initially), neuritis Fever, new painful skin lesions
Exam findings Abdominal tenderness, no rash Joint swelling, erythematous lesions on back Hypotension, diffuse nodular, tender rash, enlarged tender inguinal lymphadenopathy
Laboratory findings ESR: > 120 mm/hour CRP: 28.67 mg/L Creatinine: 1.8 mg/dL
CRP: 10.82 mg/dL WBCs: 5,600 cells/mL ALT: 90 IU/L
WBCs: 2,900 cells/mL Creatinine: 1.3 mg/dL AST: 119 IU/L
Normal creatinine Normal liver enzymes WBCs: 23,400 cells/mL
Normal liver enzymes Na: 124 mmol/L
Radiographic findings Abdominal CT: reactive mesenteric lymphadenopathy and hypodense splenic lesions N/A N/A
Treatment Prednisone Prednisone and thalidomide Prednisone → thalidomide
Clinical course Recurrence after 2 years with abdominal pain Stable on low-dose prednisone and thalidomide after first recurrence No recurrence after starting thalidomide

ALT = alanine aminotransferase; AST = aspartate aminotransferase; CRP = C-reactive protein; CT = computed tomography; ESR = erythrocyte sedimentation rate; N/A = not applicable; Na = sodium; T2R = type 2 reaction; WBCs = white blood cells.