Case Report
Minimal Change Disease as a Secondary and Reversible Event of a Renal Transplant Case with Systemic Lupus Erythematosus
Table 1
Laboratory findings 6 months after renal transplantation, at the start of proteinuria and creatinine rise.
| | CBC |
| | Hemoglobin (g/dL) | 11.9 | | Hematocrit (%) | 36.8 | | WBC (109/L) | 3.6 | | RBC (1012/L) | 4.37 | | PLT (109/L) | 325 | | ANC (109/L) | 2.9 | | ALC (109/L) | 0.4 |
| | Metabolic panel |
| | Serum sodium (mmol/L) | 136 | | Serum potassium (mmol/L) | 4.3 | | Serum chloride (mmol/L) | 107 | | Serum CO2 content (mmol/L) | 20 | | Serum calcium (mg/dL) | 9.3 | | Serum phosphorus (mmol/L) | 3.5 | | Anion gap (mmol/L) | 9 | | Serum creatinine (mg/dL) | 1.48 | | Serum urea nitrogen (mg/dL) | 22 | | Serum glucose (mg/dL) | 86 |
| | Liver function tests |
| | Serum total protein (g/dL) | 7 | | Serum albumin (g/dL) | 4.4 | | Serum LDH (u/L) | 178 | | Serum bilirubin total (mg/dL) | 0.3 | | Serum bilirubin direct (mg/dL) | 0.1 | | Serum ALP (u/L) | 88 | | AST (u/L) | 17 | | ALT (u/L) | 12 | | INR | 1 | | Prothrombin time (s) | 10.3 |
| | Others |
| | Serum tacrolimus FK506 (ug/L) | 7.7 | | Serum uric acid (mg/dL) | 5.7 | | Creatine kinase (u/L) | 143 |
| | SLE serology |
| | ANA by IF | Borderline | | ANA titer/IF pattern | 1 : 40/diffuse |
| | Blood cultures |
| | Parvovirus B19 | Not detected | | Adenovirus Antibody | Not detected | | BK virus PCR | Not detected | | CMV virus PCR (copies/mL) | <200 | | EBV virus PCR (copies/mL) | <200 |
| | Urinalysis |
| | Urine color | Yellow | | Urine appearance | Cloudy | | Urine protein (mg/dL) | 924 | | Urine creatinine (mg/dL) | 202.8 | | RBCs | 4–10 | | WBCs | 10–25 | | Urine bacteria | Moderate | | Urine blood | Negative | | Urine ketones | Negative | | Urine glucose | Negative | | Urine pH | 6 | | Urine bilirubin | Negative | | Urine specific gravity | 1.024 | | Urine nitrite | Negative | | Urine leukocyte esterase | Negative | | Urine culture | No growth of clean catch (<1,000 CFU/mL) |
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