Case Report

Denosumab as the Treatment of Recalcitrant Tuberculous Pleural Effusion-Associated Hypercalcemia

Table 2

Further blood samples sent for investigation of hypercalcemia.

InvestigationsResultsNormal values

Intact parathyroid hormone<0.5 pmol/L1.96–8.49
Total vitamin D/25-hydroxyvitamin D106.30 nmol/L50–125
Alpha fetoprotein (AFP)<1.00 ng/mL0.89–8.78
CEA1.37 ng/mL0.00–5.00
Prostate-specific antigen0.163 ng/mL0.00–4.0
Immunoglobulin A (IgA)4.3 g/L0.70–4.00
Immunoglobulin G (IgG)26.3 g/L7.0–16.0
Immunoglobulin M (IgM)1.58 g/L0.40–2.30
Kappa free light chain352.0 mg/L6.7–22.4
Lambda free light chain493.0 mg/L8.3–27.0
Kappa/lambda ratio0.710.31–1.56
Serum protein electrophoresisNo paraprotein band
Urine protein electrophoresisNo paraprotein band
Pleural fluid analysisColourStraw coloured
LDH (pleural fluid/serum)Exudative
0.75
Total protein (pleural fluid/serum)Exudative
0.7