Case Report
Therapeutic Benefits of Tocilizumab Vary in Different Organs of a Patient with AA Amyloidosis
Table 1
Laboratory findings on admission.
| Urinalysis | Protein | 1+ | | Occult blood | 1+ | | Glucose | − | |
| Urine sediment | WBC | 1–4 | /HPF | RBC | 1–4 | /HPF | Granular casts | 1+ | /LPF |
| Complete blood counts | WBC | 13600 | /mm3 | RBC | 355 | ×104/mm3 | Hemoglobin | 9.6 | g/dL | Hematocrit | 29.9 | % | Platelets | 81.9 | ×104/mm3 |
| Biochemistry | CRP | 3.4 | mg/dL | SAA | 32.3 | μg/mL | Total protein | 5.8 | g/dL | Albumin | 3.2 | g/dL | Glucose | 94 | mg/dL | Uric acid | 9.6 | mg/dL | BUN | 55 | mg/dL | Scr | 4.35 | mg/dL | eGFR | 8.6 | mL/min/1.73 m2 | Sodium | 139 | mEq/L | Potassium | 4.8 | mEq/L | Chloride | 106 | mEq/L | Serum -MG | 11.4 | mg/L | Urinary -MG | 4189 | μg/L |
| Immunology | RF | 3.4 | IU/mL | ANA | − | | Anti-CCP Ab | 3.4 | U/mL | MMP3 | 322 | ng/mL | Complement | 37 | U/mL | C3 | 62.4 | mg/dL | C4 | 20.6 | mg/dL | IgA | 269.2 2 | mg/dL | IgG | 1119.9 | mg/dL | IgM | 76.8 | mg/dL |
| Endocrinology | HbA1c | 6.2 | % | BNP | 3002.5 | pg/mL |
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RBC: red blood cell; WBC: white blood cell; HPF: high-power field; CRP: C-reactive protein; SAA: serum amyloid A protein; BUN: blood urea nitrogen; Scr: serum creatinine; eGFR: estimated glomerular filtration ratio; MG: -microglobulin; HbA1c: haemoglobin A1c; BNP: B-type natriuretic peptide; RF: rheumatoid factor; ANA: antinuclear antibody; anti-CCP Ab: antibodies against cyclic citrullinated peptide; MMP3: matrix metalloproteinase 3; Ig: immunoglobulin.
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