Case Report
Relapsing Polychondritis with Meningoencephalitis Refractory to Immunosuppressant Therapy
| ESR | 22 mm/hr (ref. 0-15) |
| Urine drug screen | negative |
| CRP | 1.76 mg/dl (ref. less than 0.50) |
| CSF, cell count | RBCs: 7 Nucleated cells: 21 |
| CSF, differential | Neutrophils: 3% Lymphocytes: 81% Monocytes: 16% |
| CSF, VDRL | Negative |
| CSF, autoimmune encephalopathy panel | Negative |
| CSF, Lactic acid | WNL |
| Paraneoplastic panel | Negative |
| HIV 1&2 antibody | Negative |
| ASO | Negative |
| AFP | Negative |
| RPR | Non-reactive |
| ANA | Negative |
| ENA panel | Negative |
| VIT b12 | WNL |
| Cryoglobulin | Negative |
| Hepatitis B and C | Negative |
| ANCA MPO PR3 | Negative |
| C3&C4 | WNL |
| SPEP (check) | No abnormal protein band detected |
|
|
WNL: within normal limit, SPEP: serum protein electrophoresis, ref: reference.
|