Case Report

Plasmapheresis for Spur Cell Anemia in a Patient with Alcoholic Liver Cirrhosis

Table 1

Laboratory data.

CBC
WBC (3,000–8,500)/µL8,300
Hb (13–17) g/dL7.9
MCV (83–100) fL118.5
PLTs (150–360 K)/µL33 K

Serum chemistry
Total protein (6.7–8.3) g/dL5.9
Albumin (4.1–5.2) g/dL2.3
LDH (122–228) U/L438
GGTP (12–49) U/L19
Total bilirubin (0.2–1.3) mg/dL15.65
Direct bilirubin (0.1–0.3) mg/dL8.0
Ammonia (20–70) µg/dL95
Ferritin (39–340) ng/mL344
BUN (7.8–18.9) mg/dL35.1
Creatinine (0.64–1.11) mg/dL1.92
Vitamin B12 (260–1,050) pg/mL3,240
Folate (4.4–13.7) ng/mL6.5
Glycoalbumin (11.6–16.4) %21.5

Hemolysis-related
Reticulocytes (0.3–1.1) %22.4
Haptoglobin (58–160) mg/dL3
Coombs test
 Direct/indirectNeg/neg

Coagulation
APTT (control 27.5) sec>69.1
PT-INR1.65
Fibrinogen (200–400) mg/dL78
AT-III (23.6–33.5) mg/dL8.8
FDP (0.0–2.5) µg/mL14.2
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