Dramatic Response of Lupus Enteritis, Nephritis, and Pancytopenia to Plasmapheresis and Rituximab

Table 1

Postadmission laboratory investigations.

Post-Admission Laboratory Investigations (Table 1):
Total leucocyte count	2500/µL	Serum amylase	57 U/L
Platelet count	112000/µL	Serum protein electrophoresis	No paraproteins
Hemoglobin	10.4 g/dL	Serum creatinine	3 mg/dL
Reticulocyte count	0.9%	BUN^e	40 mg/dL
Transferrin saturation	37%	Sodium	143 meq/L
Vitamin B12	256 pm/L	Potassium	3.1 meq/L
Folic acid	<3.1 ng/mL	Chloride	112 meq/L
LDH^j	238 U/L	Bicarbonate	20 meq/L
Coombs direct	Positive	Ionized calcium	4.3 mg/dL
Peripheral film	1% schistocyte	C-reactive protein	9.45 mg/dL
AST^a	38 U/L	ESR^f	11 mm/h
ALT^b	12 U/L	Urine R/E^d	3+ protein, 1+ blood
Total bilirubin	0.59 mg/dL	Albumin to creatinine ratio	1.343 g/g
GGT^c	13 U/L	Stool R/E^d	Mucus ++, 8–10 WBCs^i
Alkaline phosphatase	37 U/L	Stool for Clostridium difficile (PCR^h)	Negative
Serum lipase	17 U/L	Stool and blood C/S^g	Negative

^aAspartate aminotransferase, ^balanine aminotransferase, ^cgamma glutamyl transferase, ^droutine examination, ^eblood urea nitrogen, ^ferythrocyte sedimentation rate, ^gculture and sensitivity, ^hpolymerase chain reaction, ⁱwhite blood cells, ^jlactate dehydrogenase.