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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