Systemic Lupus Erythematosus Presenting as Myopericarditis with Acute Heart Failure: A Case Report and Literature Review

Table 1

Laboratory values of the patient.

Laboratory study	Patient	Reference range
Hemoglobin	9.3	12–16 g/dL
Hematocrit	29.8	36–47%
WBC	6.4	4.0–10 × 10^∧9/L
Platelets	315	150–450 × 10^∧9/L
INR	1.4	<1.4
ESR	18	0–20 mm/hr
C-reactive protein	2.9	0–0.8 mg/dL
Creatinine	1.3	0.7–1.3 mg/dL
BUN	42	8–20 mg/dL
ALT	800	0–35 U/L
AST	1074	0–35 U/L
Protein	8.5	6.0–7.8 g/dL
Albumin	3.5	3.5–5.5 g/dL
Troponin	0.237	0–0.1 ng/mL
Pro-BNP	15600	<400 pg/mL
TSH	5.04	0.5–5.0 mU/L
Free T4	1.83	0.9–2.4 ng/dL
Free T3	2.09	3.6–5.6 ng/L
ANA	1 : 1280	<1 : 40
Anti-ds-DNA	7	<30 IU/mL
Anti-Smith	8 AI	Negative
Complement C3	70	88–201 mg/dL
Complement C4	13.1	15–45 mg/dL
Beta-2 glycoprotein	Negative	Negative
Anti-cardiolipin	Negative	Negative
Lyme serology	Negative	Negative
TB quantiferon	Negative	Negative
HIV	Negative	Negative

WBC: white blood cell count; INR: international normalized ratio; ESR: erythrocyte sedimentation rate; BUN: blood urea nitrogen; ALT: alanine aminotransferase; AST: aspartate aminotransferase: pro-BNP: B-type natriuretic peptide; TSH: thyroid-stimulating hormone; ANA: anti-nuclear antibody titer; anti-ds-DNA: anti-double-stranded DNA. ^∗denotes significant clinical finding.