Case Report

ANA-Negative Presentation of SLE in Man with Severe Autoimmune Neutropenia

Table 1

Basic lab findings on presentation, most significant for elevated LDH and ANC <100.

LabResults

BMPSodium 132 mmol/L
Potassium 3.9 mmol/L
Chloride 97 mmol/L
Bicarbonate 22 mmol/L
Anion gap 13
BUN 17 mg/dL
Creatinine 1.00 mg/dL
GFR >60 mL/min/1.73 m2
Glucose 128 mg/dL
Calcium 8.1 mmol/L

Liver panelALP 54 U/L
ALT 87 U/L
AST 152 U/L
Direct bil 0.2 μmol/L
Total bil 0.55 μmol/L
Albumin 3.6 g/L
Total protein 7.5 g/L

Blood chemistryPhosphorous 2.2 mmol/L
Magnesium 1.8 mEq/L
LDH 710 U/L
Lactate 1.4 mmol/L
Uric acid 3.4 mmol/L
Cortisol 49.6 mcg/dL

CBCWBC 0.5 109/L
RBC 4.25 1012/L
Hgb 10.5 g/dL
Hct 31.6%
MCV 74.4 fL
MCH 24.7 fmol/cell
MCHC 33.2 g/dL
RDW 17.4%
Plt count 122 109/L
MPV 10.1 fL
Segs 6 109/L
Bands 2 109/L
Lymphocytes 61 109/L
Monocytes 29 109/L
ANC <100

Coagulation panelPT 12.4 sec
INR 1.1
PTT 33.7 sec