An Unusual Case of Systemic Lupus Erythematosus and Hemophagocytic Syndrome

Table 1

Lab values on presentation.

Variable	Lab values on admission	Reference range
Sodium	118	136–146 mmol/L
Potassium	4.9	3.5–5.1 mmol/L
Chloride	87	96–107 mmol/L
Carbon dioxide	23	22–30 mmol/L
Blood urea nitrogen	10	8–24 mmol/dL
Creatinine	0.89	0.66–1.25 mg/dL
Glucose	101	74–106 mg/dL
eGFR	90	>90
Calcium	7.7	8.4–10.3 mg/dL
Corrected calcium	8.7	8.5–10.5 mg/dL
Protein, total	8.7	6.3–8.2 g/dL
Albumin	2.7	3.5–5 g/dL
Bilirubin, total	4.8	0.2–1.3 mg/dL
Bilirubin, direct	3.5	0.0–0.4 mg/dL
ALP	187	38–126 U/L
AST	366	15–46 U/L
ALT	66	13–69 U/L
WBC	14.3	3.4–11 k/μL
Hemoglobin	8.3	13.0–17 g/dL
Hct	27.7	38–51%
Platelet	72	150–450 k/μL
MCV	90.7	80–100 fL
Band	23
Eosinophils (%)	2	0.0–0.6%
Neutrophil (%)	70	40–74%
Lymphocytes (%)	3	18–44%
Monocytes (%)	2	4.7–12.0%
Basophil (%)	0	0.1–1.4%
Partial thromboplastin time	51.3	22.5–35.5 secs
INR	3	0.9–1.1
PT	30.8	11.8–14.3 secs

The normal albumin level defaults to 4 mg/dL standard units.