Case Report

A Case of Heparin-Induced Thrombocytopenia That Developed in the Therapeutic Course of Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis

Table 1

Main clinical data of the current case at hospital admission.

Urinalysis
 Protein2+
7.08 g/gCr
 Hematuria3+
10–19 HPF
Blood analysis
 WBC9500 μL
  Neut80%
  Lym11.6%
  Mono7.6%
  Eos0.6%
  Baso0.2%
  Hb7.2 g/dL
  Plt431,000 μL
Total protein4.3 g/dL
 Albumin1.3 g/dL
  BUN37.4 mg/dL
  Cr2.25 mg/dL
  UA6.1 mg/dL
  Na135 mEq/L
  K4.4 mEq/L
  Cl106 mEq/L
  AST15 U/L
  ALT4 U/L
  LDH157 U/L
  ALP153 U/L
  γGT20 U/L
  T. bil0.4 mg/dL
  RF72 IU/mL
ANA (homogeneous)×20
 C398 mg/dL
 C431 mg/dL
 CH5042.8 U/mL
 MPO-ANCA147 U/mL
 PR3-ANCA<1.0 U/mL
 Anti-GBM antibody<2.0 U/mL

WBC, white blood cells; Hb, hemoglobin; Plt, platelet; BUN, blood urea nitrogen; Cr, creatinine; UA, uric acid; Na, sodium; K, potassium; Cl, chloride; AST, aspartate aminotransferase; ALT, alanine aminotransferase; LDH, lactate dehydrogenase; ALP, alkaline phosphatase; γGT, gamma-glutamyl transpeptidase; T. bil, total bilirubin; RF, rheumatoid factor; ANA, antinuclear antibody; C3, complement 3; C4, complement 4; CH50, complement hemolytic activity assay; MPO-ANCA, myeloperoxidase-anti-neutrophil cytoplasmic antibody; PR3-ANCA, proteinase 3-anti-neutrophil cytoplasmic antibody; anti-GBM antibody, anti-glomerular basement membrane antibody.