Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters

Table 1

Laboratory data obtained on the first admission.

Complete blood count
White blood cell count, /μL	7600
Hemoglobin, g/dL	10.8
Platelets, ×10^4/μL	22.1
Biochemistry
Total protein, g/L	58
Albumin, g/L	34
Total bilirubin, μmol/L	13.7
Aspartate aminotransferase, U/L	45
Alanine aminotransferase, U/L	51
Alkaline phosphatase, U/L	389
γ-GTP, U/L	46
Lactate dehydrogenase, U/L	183
Creatine phosphokinase, U/L	419
Blood urea nitrogen, mmol/L	10.0
Creatinine, μmol/L	81.4
Uric acid, μmol/L	375
Glucose, mmol/L	6.6
Hemoglobin A1c, %	5.6
Brain natriuretic peptide, ng/L	149
Ferritin, pmol/L	1742
Urinalysis and urinary sediment
pH (dipstick)	6.5
Specific gravity (dipstick)	1.025
Protein (dipstick)	1+
Hematuria (dipstick)	1+
Bilirubin	Negative
Ketone	Negative
Immunology
Antinuclear antibody	×40
AntiSmith antibody	Negative
Anti-double-stranded DNA antibody	Negative
Soluble interleukin-2 receptor, U/mL	580
C3, g/L	1.62
C4, g/L	0.46
IgG, g/L	10.2
IgA, g/L	4.2
IgM, g/L	0.8
Infection-related test
β-D-Glucan, pg/mL (normal; <0.5)	<0.5
Endotoxin, pg/mL (normal; <11.0)	<11.0
Procalcitonin, ng/mL (normal; <0.5)	0.15

DNA: deoxyribonucleic acid, GTP: glutamyl transpeptidase, Ig: immunoglobulin, and PT/INR: prothrombin time/international normalized ratio.