Case Report

Primary Sjögren’s Syndrome Accompanied by Clinical Features of TAFRO Syndrome

Table 1

Laboratory findings of the study patient on admission.

WBC (μL)8,900
Neutrophils (%)78.5
Eosinophils (%)0.5
Monocytes (%)5.5
Lymphocytes (%)9.5
RBC (106/μL)3.94
Hb (g/dL)12.6
Hct (%)37.5
PLT (103/μL)27
TP (g/dL)6.5
Alb (g/dL)3.0
TB (mg/dL)0.6
AST (U/L)18
ALT (U/L)13
LD (U/L)175
ALP (U/L)211
γ-GTP (U/L)44
BUN (mg/dL)9.3
Creatinine (mg/dL)0.89
Na (mEq/L)143
K (mEq/L)4.3
Cl (mEq/L)109
CRP (mg/dL)1.26
CEA (ng/mL)<0.5
CA19-9 (ng/mL)<2.0
CA125 (U/mL)77.3
sIL-2R (U/mL)745
IgG (mg/dL)1,643
IgG4 (mg/dL)38
IgA (mg/dL)355
IgM (mg/dL)90
CH50 (U/mL)60
C3 (mg/dL)113
C4 (mg/dL)46.3
RF (IU/mL)133
ANA (fold)320
Homogenous (fold)320
Cytoplasmic
Anti-ds-DNA IgG antibody (IU/mL)8.3
Anti-Ro/SS-A antibody (fold)32
Anti-Lo/SS-B antibody (fold)1
PA-IgG (ng/107)195
Human herpesvirus 8 DNA
IL-6 (pg/mL)3.01
VEGF (pg/mL)42.1
<Urinalysis>
 Protein±
 Sugar
 Blood

WBC, white blood cell; RBC, red blood cell; Hb, hemoglobin; Hct, hematocrit; PLT, platelet; TP, total protein; Alb, albumin; TB, total bilirubin; AST, aspartate aminotransferase; ALT, alanine aminotransferase; LD, lactic dehydrogenase; ALP, alkaline phosphatase; γ-GTP, γ-glutamyl transpeptidase; BUN, blood urea nitrogen; Na, sodium; K, potassium; Cl, chloride; CRP, C-reactive protein; CEA, carcinoembryonic antigen; CA19-9, carbohydrate antigen 19-9; CA125, cancer antigen 125; sIL-2R, soluble interleukin-2 receptor; IgG, immunoglobulin G; IgG4, immunoglobulin G4; IgA, immunoglobulin A; IgM, immunoglobulin M; CH50, 50% hemolytic complement activity; C3, third component of complement; C4, fourth component of complement; RF, rheumatoid factor; ANA, antinuclear antibody; PA-IgG, platelet-associated immunoglobulin G; IL-6, interleukin-6; VEGF, vascular endothelial growth factor.