Case Report
A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
| | Complete blood count | | | WBC (μL) | 3200 | | Seg (%) | 43.0 | | Lym (%) | 38.0 | | Mono (%) | 18.0 | | Eos (%) | 1.0 | | RBC (×104/μL) | 393 | | Hb (g/dL) | 11.9 | | Ht (%) | 34.7 | | Plt (×104/μL) | 12.5 | | Urine | | | Sugar | (−) | | Protein | (±) | | (g/day) | 0.56 | | OB | (2+) | | WBC | (−) | | Chemistry | | | TP (g/dL) | 11.1 | | Albumin (%) | 23.0 | | α1 (%) | 2.4 | | α2 (%) | 4.5 | | β (%) | 3.0 | | γ (%) | 67.1 | | M protein | (−) | | T.Bil (mg/dL) | 0.3 | | AST (U/L) | 19 | | ALT (U/L) | 9 | | LDH (U/L) | 146 | | ALP (U/L) | 194 | | γ-GTP (U/L) | 14 | | ChE (U/L) | 162 | | KL-6 (U/mL) | 117 | | CK (U/L) | 12 | | BUN (mg/dL) | 21.6 | | Cr (mg/dL) | 1.27 | | UA (mg/dL) | 7.1 | | AMY (mEq/L) | 103 | | Na (mEq/L) | 133 | | K (mEq/L) | 4.5 | | Cl (mEq/L) | 102 | | Ca (mg/dL) | 8.4 | | P (mg/dL) | 3.9 | | Coagulation | | | PT-INR (INR) | 1.10 | | APTT (sec) | 27.2 | | Fib (mg/dL) | 317.0 | | D-dimer (μg/mL) | 0.86 | | Immunology | | | CRP (mg/dL) | 0.65 | | ESR (1 h) (mm) | 74 | | Anti-CCP Ab (IU/mL) | 1.8> | | RF (mg/dL) | 1> | | C3 (mg/dL) | 18.7 | | C4 (mg/dL) | 0.9 | | CH50 (U/mL) | 4.7> | | IgG (mg/dL) | 7838.1 | | IgG4 (mg/dL) | 2750 | | IgA (mg/dL) | 108.6 | | IgM (mg/dL) | 193.3 | | sIL-2R (U/mL) | 3562 | | HBsAg | (−) | | HBcAb (S/CO) | 0.16 | | HCVAb | (−) | | Anti-dsDNA Ab | (−) | | Anti-U1-RNP Ab | (−) | | Anti-Sm Ab | (−) | | Anti-nuclear Ab |
1280 × | | Homogeneous | 1280 × | | Speckled | 40> × | | Nucleolar | 40> × | | Centromere | 40> × | | Peripheral | 40> × | | Plasma type | (−) | | β2-GPI Ab (U/mL) | 1.3> | | LAC | 1.0 | | Anticardiolipin IgG (U/mL) | 7 |
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CRP: C-reactive protein; ESR: erythrocyte sedimentation rate; sIL-2R: soluble interleukin-2 receptor; β2-GPI Ab: β2-glycoprotein I antibody; LAC: lupus anticoagulant.
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