Bilateral Testicular Infarction from IgA Vasculitis of the Spermatic Cords

Table 1

Patient’s laboratory values upon admission.

Component	Value	Ref range & units
Complete blood count with differential
WBC	5.7	3.5–10.1 bil/L
RBC	3.56 (L)	4.31–5.48 tril/L
Hemoglobin	9.5 (L)	13.5–17.0 g/dL
Hematocrit	32.0 (L)	40.1–50.1%
MCV	90	80–100 fL
MCH	27 (L)	28–33 pg
RDW CV	17 (H)	12–15%
Platelets	395	150–400 bil/L
Neutrophils	4.4	1.6–7.2 bil/L
Lymphocytes	0.7 (L)	1.1–4.0 bil/L
Monocytes	0.4	0.0–0.9 bil/L
Immature granulocytes	0.07 (H)	0.00–0.04 bil/L
Urine analysis
Color	Yellow
Clarity	Clear
Glucose	+3	Negative
Protein	+2	Negative
Blood	trace	Negative
Ketones	negative	Negative
RBCs	4–10/hpf	0–3/hpf
WBCs	5–10/hpf	0–5/hpf
Casts, hyaline	0–2/lpf	0–2/lpf
Urine protein to creatinine ratio	1.6	0–0.2
Blood chemistries
Sodium	127 (L)	135–145 mmol/L
Potassium	6.0 (H)	3.5–5.2 mmol/L
Chloride	96 (L)	98–110 mmol/L
Carbon dioxide (CO2)	22	22–32 mmol/L
Anion gap	9	5–17
Glucose	700 (HH)	60–99 mg/dL
Blood urea nitrogen (BUN)	33 (H)	8–22 mg/dL
Creatinine	1.18	0.60–1.40 mg/dL
Calcium	7.0 (L)	8.4–10.4 mg/dL
Protein total	5.2 (L)	6.4–8.6 g/dL
Albumin	1.7 (L)	3.5–5.1 g/dL
Globulin	3.5	2.2–4.0 g/dL
Albumin/globulin ratio	0.5
Alkaline phosphatase (ALP)	71	30–110 U/L
Aspartate aminotransferase (AST)	38 (H)	10–37 U/L
Alanine aminotransferase (ALT)	23	9–47 U/L
Bilirubin total	0.9	0.3–1.2 mg/dL
Bilirubin direct	0.3	0–0.3 mg/dL
GFR non-African American	71	>59 mL/min/1.73 m2
GFR African American	82	>59 mL/min/1.73 m2
ESR	46 (H)	0–15 mm/hr
Lactic acid	3.1	0.5–2.2 mmol/ L
Lipase	10	7–60 U/L
Beta hydroxybutyrate	0.10	0.02–0.27 mmol/L
BNP	51	0–100 pg/mL