Case Report

Therapeutic Benefits of Tocilizumab Vary in Different Organs of a Patient with AA Amyloidosis

Table 1

Laboratory findings on admission.

Urinalysis
Protein1+
Occult blood1+
Glucose

Urine sediment
WBC1–4/HPF
RBC1–4/HPF
Granular casts1+/LPF

Complete blood counts
WBC13600/mm3
RBC355×104/mm3
Hemoglobin9.6g/dL
Hematocrit29.9%
Platelets81.9×104/mm3

Biochemistry
CRP3.4mg/dL
SAA32.3μg/mL
Total protein5.8g/dL
Albumin3.2g/dL
Glucose94mg/dL
Uric acid9.6mg/dL
BUN55mg/dL
Scr4.35mg/dL
eGFR8.6mL/min/1.73 m2
Sodium139mEq/L
Potassium4.8mEq/L
Chloride106mEq/L
Serum -MG11.4mg/L
Urinary -MG4189μg/L

Immunology
RF3.4IU/mL
ANA
Anti-CCP Ab3.4U/mL
MMP3322ng/mL
Complement37U/mL
C362.4mg/dL
C420.6mg/dL
IgA269.2
2
mg/dL
IgG1119.9mg/dL
IgM76.8mg/dL

Endocrinology
HbA1c6.2%
BNP3002.5pg/mL

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.