Systemic Lupus Erythematosus Presented with Bilateral Orbital Edema and Negative Serology

Table 1

Laboratory investigations.

WBC	4.2 × 10^9/L	ASO quantitative	Negative
Lymphocytes	0.88 × 10^9/L	Creatine kinase	110.6 u/l
Neutrophil absolute	2.89 × 10^9/L	Ferritin	1330 ng/ml
Monocyte absolute	0.28 × 10^9/L	Serum iron	4.46 μmol/L
Eosinophil absolute	0.15 × 10^9/L	TIBC	34 μmol/L
Basophil absolute	0.03 × 10^9/L	Transferrin saturation	12.97%
HGB	12.5 g/dl	TFT	TSH 2.387 iu/ml; T4 1.09 ng/dl; T3 2.86 pn/ml
PLT	162 × 10^9/L
Serum creatinine	82 mmol/L	ESR	48 mm/hr
Urea	7 mmol/L	CRP	6.5 mg/L
Na	141 mmol/L
K	4.6 mmol/L	24 h urine creatinine and volume 1300 ml	9.3 mmol/24 hrs.
Serum albumin	32.5 g/l	24 h protein	0.21 gm/24 hrs.
Total bilirubin	5.57 μmol/l
ALT	43 u/l	Urinalysis	Glucose 100 mg/dl, protein 30 mg/dl
AST	59 u/l
GGT	88.2 u/l	Throat swab for beta hemolytic streptococci	Negative

WBC, white blood cell count; HBG, serum hemoglobin; PLT, platelets; Na, serum sodium; K, serum potassium; ALT, alanine transaminase; AST, aspartate aminotransferase; GGT, gamma-glutamyl transferase; ASO, antistreptolysin O; TIBC, total iron-binding capacity; TSH, thyroid-stimulating hormone; TFT, thyroid function test; ESR, erythrocyte sedimentation rate; CRP, C-reactive protein.