Table 2.
Laboratory Values and MAS/HLH Criteria of 23 Adults with SLE and MAS
| Maximum Laboratory Values during episode |
Adults, n=23 |
|---|---|
| Ferritin, ng/mL (normal 20–400)* | 8,111 (5,670–22,070) |
| LDH, U/L (107–231) n = 13 | 671.5 (486–1,443) |
| AST, U/L (9–30) | 161 (68–475) |
| ALT, U/L (10–50) | 68 (38–228) |
| CRP, mg/L (0.0–3.0) n=15 | 60.5 (24.9–155.5) |
| ESR, mm/hr (0–18) n=14 | 72 (53–101) |
| Triglycerides, mg/dL (35–135) | 239 (155–446) |
| Minimum labs during episode, mean (range) | |
| WBC, K/uL (4–10) | 2.02 (1.04–4.84) |
| Hematocrit, % (36–48) | 20.2 (18.5–24.4) |
| Platelets, K/uL (150–450) | 41 (21–122) |
| Classification Systems | |
| Number of Ravelli clinical criteria† | 2.3 (1.0) |
| Number of Ravelli laboratory criteria | 3.7 (1.0) |
| Number of HLH-2004 criteria‡,§ | 4.1 (1.3) |
| Percentage who met HLH-2004 criteria | 39.1 |
| Percentage with bone marrow biopsy‖ | 43.5 |
| Percentage of bone marrow biopsies with hemophagocytosis | 60 |
All lab values are median with inter-quartile range
MAS by Ravelli criteria: ≥ 1 clinical and ≥ 1 laboratory criteria. Mean (standard deviation).
SD = Standard deviation
HLH-2004 guidelines: ≥ 5 of 8 criteria.
Percentages for bone marrow biopsy positivity are based upon those with bone marrow biopsy during hospitalization.