Case Report

Gastric, Colonic, and Rectal Amyloidosis in the Setting of Familial Mediterranean Fever: A Unique Cause of Intractable Diarrhea

Table 1

The patient’s admission and pertinent laboratory values compared to the reference ranges.

VariablesValuesReference range

Sodium129135–145 mEq/L
Potassium5.73.5–5.0 mEq/L
Calcium10.88.6–10.3 mg/dL
Blood urea nitrogen317–23 mg/dL
Creatinine1.340.60–1.24 mg/dL
Uric acid6.32.3–7.6
Lipase level208–57 U/L
Serum bicarbonate1821–31 mg/dL
Free T40.980.61–1.12 ng/dL
TSH6.5250.450–5.330 mcIntlUnit/mL
Hemoglobin8.313.5–17.5 g/dL
White blood cells12.1 × 103/mm34.5 × 103/mm3–11.0 × 103/mm3
ESR310–10 mm/hr
CRP4.1≤9.9
Ferritin1,300.016.4–294.0 ng/mL
B12602211–911 pg/mL
Folate4.0≥4.1 ng/mL
Transferrin166201–355 mg/dL
Cortisol6.7Normal
Procalcitonin0.14Normal
Lactic acid1.4
Tacrolimus level8.62.0–20.0
ANA with reflexNegative
MPO-ANCA and PR3-ANCANot detected
Hepatitis B and C profileNormal
Serum protein electrophoresisNormal
C diff toxinNegative
C diff antigenNegative
SAAPositive on biopsy