Table 1.
Laboratory findings at first admission
| Patient values | Reference | Interpretation | |
|---|---|---|---|
| Blood test | |||
| WBC, /µL | 8,700 | 3,900–9,800 | Normal |
| Lymphocyte, % | 22 | 18–59 | Normal |
| Hb, g/dL | 15.3 | 13.5–17.6 | Normal |
| Plt, /µL | 23.3 ×104 | 13.1 ×104 to 36.2 ×104 | Normal |
| CRP, mg/dL | 0.1 | 0–0.3 | Normal |
| TP, mg/dL | 3.9 | 6.7–8.3 | Decreased |
| LDH, U/L | 277 | 245–115 | Elevated |
| Alb, mg/dL | 1.8 | 4–5 | Decreased |
| Cr, mg/dL | 1.12 | 0.61–1.04 | Elevated |
| LDL-chol, mg/dL | 303 | 7–139 | Elevated |
| D-dimer, μg/mL | 9.6 | 0–1 | Elevated |
| FDP, μg/mL | 21.3 | 0–5 | Elevated |
| MPO-ANCA, IU/mL | – | <0.5 | Normal |
| PR3-ANCA, IU/mL | – | <0.5 | Normal |
| IgG, mg/dL | 536 | 820–1,740 | Decreased |
| IgA, mg/dL | 174 | 90–400 | Normal |
| IgM, mg/dL | 87 | 31–200 | Normal |
| Cryoglobulin | – | + or − | Normal |
| Kappa free light chain, mg/L | 24.3 | 3.3–19.4 | Elevated |
| Lambda free light chain, mg/L | 22.2 | 5.7–26.3 | Normal |
| Kappa/lambda ratio | 1.09 | 0.26–1.65 | Normal |
| BNP, pg/mL | 47.3 | 0–18.4 | Elevated |
| Urinary test | |||
| Urinary RBC | 100/HPF (isomorphic) | <1/HPF | Elevated |
| Urinary protein, g/g Cr | 7.79 | <0.15 | Elevated |
| Urinary protein (24 h collection), mg/day | 7,230 | 21–120 | Elevated |
| Selectivity index | 0.129 | <0.2 (high selectivity) | High selectivity |
| Bence Jones protein | – | + or − | Normal |
Alb, albumin; BNP, brain natriuretic peptide; Cr, creatinine; CRP, C-reactive protein; FDP, fibrin degradation product; Hb, hemoglobin; LDH, lactate dehydrogenase; LDL-chol, low-density lipoprotein cholesterol; MPO-ANCA, myeloperoxidase antineutrophil cytoplasmic antibodies; Plt, platelet; PR3-ANCA, proteinase 3 antineutrophil cytoplasmic antibodies; TP, total protein; RBC, red blood cell; WBC, white blood cell.