Case Report

“The Great Mimicker”: An Unusual Etiology of Cytopenia, Diffuse Lymphadenopathy, and Massive Splenomegaly

Table 1

Laboratory findings.

ParameterValue

Total protein (g/dL)8.1 (6–8.3)
Albumin (g/dL)3.2 (3.0–5.5)
Serum iron (µg/dL)34 (35–150)
Total iron binding capacity (µg/dL)241 (260–400)
Ferritin (ng/mL)608 (30–400)
Percent saturation (%)14.1 (15–50)
Reticulocyte count (%)1.88 (0.5–1.5)
ESR (mm/h)93 (0–10)
Vitamin B12 (pg/mL)215 (243–894)
Lactate dehydrogenase (IU/L)97 (60–200)
Inorganic phosphorus (mg/dL)2.5 (2.1–4.9)
Intact PTH (pg/mL)5 (15–65)
PTH related protein (pg/mL)22 (14–27)
Thyroid stimulating hormone (µIU/mL)2.72 (0.27–4.2)
Vitamin D 1,25(OH)2 total (pg/mL)248 (18–72)
Vitamin D 25-OH total (ng/mL)26 (30–100)
Uric acid (mg/dL)6.3 (4.8–8.7)
Serum protein electrophoresis (SPEP)Normal
Free kappa/lambda ratio1.01 (0.26–1.65)
Urine protein electrophoresis (UPEP)Normal