Case Report
Juvenile Systemic Lupus Erythematosus Presenting with Esophagitis and Severe Oral Mucositis
Table 2
Rheumatologic workup (abnormal findings are indicated in bold).
| Labs | Ref ranges | Actual values |
| ANA (titer) | <40 | >2560 | Anti-dsDNA, Crithidia IFA (titer) | <10 | >2560 | Anti-SS-A/Ro (EIA) | 0–19.99 | 33.7 | Anti-SS-B/La (EIA) | 0–19.99 | 4.3 | C3 (mg/dL) | 86–184 | 12.0 | C4 (mg/dL) | 20–59 | 4.34 | Total hemolytic complement (CAE) | 70–200 | 6.7 | Coombs, direct and indirect | Negative | Positive Anti-IgG | Anti-Cardiolipin IgG (GPL) | 0–14.9 | 16.1 | Anti-Cardiolipin IgM (MPL) | 0–12.4 | 18.4 | Anti-Beta-2 Glycoprotein IgG (SGU) | 0–19.9 | 7.5 | Anti-Beta-2 Glycoprotein IgM (SGU) | 0–19.9 | 28.0 | PTT-LA screen (seconds) | ≤40 | 34 | dRVVT screen (seconds) | ≤45 | 35 | Anti-Smith Abs (EIA) | 0–19.9 | 14.1 | U1RNP (EIA) | 0–19.9 | 21.8 | ESR (mm/hr) | 0–20 | 93 | CRP (mg/dL) | 0–0.8 | <0.3 |
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Anti-dsDNA Crithidia testing manufactured by Bio-Rad Laboratories. |