Case Report

Increased IL-17, a Pathogenic Link between Hepatosplenic Schistosomiasis and Amyotrophic Lateral Sclerosis: A Hypothesis

Table 1

Laboratory data.

AnalyteReference rangeMonth 1Month 4Month 8

Leukocyte count ( 103/ L)4.3–11.01.301.501.70
Lymphocytes ( 103/ L)1.0–3.70.500.700.70
CD4 T cells %31–60 5053
CD4 T cells (/ L)410–1590311315
Hemoglobin (g/dL)12–1612.913.413.8
Platelet count ( 103/ L)140–450363351
PT INR<1.201.491.441.22
PTT RATIO<1.201.211.151.05
CRP (mg/dL)<0.501.4 0.010.03
-GT (U/L)<60157246100
AST (IU/liter)<40563319
ALT (IU/liter)<40598717
Gamma-globulin (%)8–16.719.614.612.1
IgE (IU/mL)<1208117563
Vitamin B12 (pg/mL)191–6631.057
Folic acid (ng/mL)4.6–18.73.89
25-OH-vitamin D (ng/mL)31–10014
CPK (IU/liter)40–2301,27725384
ANA titer<1 : 801 : 3201 : 1601 : 320
C3 (mg/dL)79–152687378
C4 (mg/dL)16–38121112
Lupus anticoagulant panel
 aPTT-low phospholipid<1.150.850.66
 DRVVT ratio<1.101.201.14
Anticardiolipin-Abpositive
Schistosoma-Abpositive

HIV-Ab, HTLV-I/II-Ab, HAV-IgM, HBs-Ag, HCV-Ab, HEV-Ab, CMV-IgM, TPPA, Toxoplasma-Ab, EBV-DNA, Plasmodium falciparum-Ag, and emoscopy for plasmodia: all negative.
Values out of the reference range are in bold.
ALT: alanine transaminase; AST: aspartate transaminase; ANA: antinuclear antibodies; CPK: creatine phosphokinase; CRP. C-reactive protein; DRVVT: dilute viper venome time; -GT: -glutamyltransferase; PT: prothrombine time; HTLV-I/II: human T lymphotropic virus I/II; PTT: partial thromboplastine time; and TPPA: Treponema pallidum particle agglutination.