Case Report
Granulomatosis with Polyangiitis Presenting as a Choroidal Tumor
Table 1
Laboratory findings.
| | Peripheral blood | | | Red blood cells | 337 × 104/L | | Hemoglobin | 10.4 g/dL | | White blood cells | 8400/L | | Neutrophil | 83.2% | | Monocyte | 5.5% | | Lymphocyte | 10.0% | | Eosinophil | 0.9% | | Basophil | 0.5% | | Platelet | 30.4 × 104/L | | Blood chemistry | | | Total protein | 7.6 g/dL | | Albumin | 2.8 g/dL | | Total bilirubin | 0.5 mg/dL | | Glutamic-oxaloacetic transaminase | 19 IU/L (7–33) | | Glutamic-pyruvic transaminase | 14 IU/L (5–30) | | Lactate dehydrogenase | 199 IU/L (260–480) | | Alkaline phosphatase | 261 IU/L (80–250) | | Creatinine kinase | 39 IU/L (60–160) | | Total cholesterol | 171 mg/dL | | Blood urea nitrogen | 15.0 mg/dL | | Creatinine | 0.4 mg/dL | | Na | 132 mEq/L | | K | 4.1 mEq/L | | Cl | 100 mEq/L | | Ca | 8.7 mg/dL | | Serological tests | | | C-reactive protein | 9.37 mg/dL (<0.30) | | Erythrocyte sedimentation rate | 86 mm/hr | | IgG | 2250 mg/dL (900–2000) | | IgA | 458 mg/dL | | IgM | 131 mg/dL | | C3 | 155 mg/dL (86–160) | | C4 | 50 mg/dL (17–45) | | Rheumatoid factor | 24 (U/mL) (<17) | | Antinuclear Ab | <×40 (Speckled) | | PR-3-ANCA | <1.0 U/mL (<3.5) | | MPO-ANCA | 41.1 U/mL (<3.5) | | Anti-CCP Ab | <0.6 U/mL (<4.5) | | Virological test | | | HCV-Ab | (−) | | HBsAg | (−) | | Urinalysis | | | Protein | (−) | | Sugar | (−) | | Occult blood | (−) | | Sediment | np |
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HBsAg: hepatitis B surface antigen; Anti-CCP Ab: anti-cyclic citrullinated peptide antibody; HCV: hepatic C virus; MPO-ANCA: myeloperoxidase anti-neutrophil cytoplasmic antibody; PR-3-ANCA: proteinase 3-anti-neutrophil cytoplasmic antibody.
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