Case Report
Plasmapheresis for Spur Cell Anemia in a Patient with Alcoholic Liver Cirrhosis
| CBC | | WBC (3,000–8,500)/µL | 8,300 | Hb (13–17) g/dL | 7.9 | MCV (83–100) fL | 118.5 | PLTs (150–360 K)/µL | 33 K |
| Serum chemistry | | Total protein (6.7–8.3) g/dL | 5.9 | Albumin (4.1–5.2) g/dL | 2.3 | LDH (122–228) U/L | 438 | GGTP (12–49) U/L | 19 | Total bilirubin (0.2–1.3) mg/dL | 15.65 | Direct bilirubin (0.1–0.3) mg/dL | 8.0 | Ammonia (20–70) µg/dL | 95 | Ferritin (39–340) ng/mL | 344 | BUN (7.8–18.9) mg/dL | 35.1 | Creatinine (0.64–1.11) mg/dL | 1.92 | Vitamin B12 (260–1,050) pg/mL | 3,240 | Folate (4.4–13.7) ng/mL | 6.5 | Glycoalbumin (11.6–16.4) % | 21.5 |
| Hemolysis-related | | Reticulocytes (0.3–1.1) % | 22.4 | Haptoglobin (58–160) mg/dL | 3 | Coombs test | | Direct/indirect | Neg/neg |
| Coagulation | | APTT (control 27.5) sec | >69.1 | PT-INR | 1.65 | Fibrinogen (200–400) mg/dL | 78 | AT-III (23.6–33.5) mg/dL | 8.8 | FDP (0.0–2.5) µg/mL | 14.2 | Factor II (66–118) % | 31.9 | FV (73–122) % | 29.0 | FVII (54–162) % | 22.4 | FVIII (78–165) % | 89.0 | FIX (67–152) % | 33.1 | ADAMTS13 (70–120) % | 71.8 |
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