A Rare Presentation of Checkpoint Inhibitor Induced Distal RTA

Table 1

Laboratory values during hospital admission: introduction of stress dose steroids on day seven of hospital course.

	Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7	Day 8	Day 9	Day 10	Day 11	Day 12	Day 13	Day 14	References
White blood cell	13.9	10.3	14.8	11.3	8.1	11.3	11.3	10.8	12.2	14.1	13.5	13.4	16.2	16.5	3.50-10.80 K/μL
Hemoglobin	10.3	8.6	9.4	8.7	8.1	8.8	8.0	8.3	9.1	9.5	9.5	9.6	10.9	10.6	14-18 g/dL
Platelet count	164	133	144	137	130	120	149	158	174	189	172	171	181	168	130-400 K/μL
Serum sodium	133	141	141	144	147	149	142	145	143	142	143	142	140	141	136-145 mmol/L
Serum potassium	3.1	3.8	2.9	3.3	3.0	3.0	2.4	3.8	3.3	3.0	3.1	3.3	4.3	3.6	3.5-5.1 mmol/L
Serum chloride	110	121	117	123	125	127	120	123	120	120	120	119	118	117	98-107 mmol/L
Serum bicarbonate	11	9	13	12	12	13	16	13	15	14	14	16	16	18	21-31 mmol/L
Serum blood urea nitrogen	23	23	25	24	22	14	12	14	14	17	18	15	14	15	7-25 mg/dL
Serum creatinine	3.2	2.4	1.7	1.4	1.2	0.9	0.8	0.8	0.7	0.8	0.8	0.7	0.7	0.7	0.7-1.3 mg/dL
Serum albumin	2.6	2.6	2.8	2.8	2.9	3.0	3.0	3.1	3.1	3.2	3.0	3.3	3.2	3.3	3.4 to 5.4 g/dL
Aspartate aminotransferase	737	579	279	114	80	126	240	204	77	41	36	24	32	19	<37 U/L
Alanine aminotransferase	399	376	331	220	173	180	247	275	210	146	121	97	95	84	<55 U/L
Alkaline phosphatase	99	81	101	99	92	104	170	200	182	177	168	159	159	145	<130 U/L
Venous blood gas pH		7.24	7.31	7.28		7.31		7.34	7.34						7.32-7.43
Urine analysis pH	7.5				7.5		7.5					7.0			5.0-7.0
COVID-19 PCR	Not detected			Not detected			Not detected			Not detected			Not detected		Not detected
Influenza type A	Not detected
Influenza type B	Not detected