Case Report
A Case of Systemic Lupus Erythematosus and Antineutrophil Cytoplasmic Antibodies-Associated Vasculitis Overlap Syndrome
Table 1
Laboratory results of this case.
| Urinalysis | Biochemistry/immunology | Urine protein | (2+) | TP | 7.5 | g/dL | FANA | 1 : 320 (speckled) | Occult blood | (3+) | Alb | 3.2 | g/dL | Anti-dsDNA Ab (ELISA) | 18.2 | U/mL | Urine WBC | 10–19/HF | BUN | 31 | mg/dL | Anti-dsDNA Ab (RIA) | 9 | U/mL | Urine RBC (with dysmorphic RBC) | >100/HF | Creatinine | 2.3 | mg/dL | Anti-Sm Ab | 0.5 | U/mL | Casts (red blood cell, granular, waxy) | (+) | eGFR | 20.8 | mL/min/1.73 m2 | Anti-RNP Ab | <7.0 | U/mL | U-TP/Cre | 1.7 g/gCr | Na | 141 | mmol/L | Anti-SS-A Ab | >240 | U/mL | Complete blood count | K | 4.3 | mmol/L | Anti-SS-B Ab | 81.8 | U/mL | WBC | 3,100 | /μL | Cl | 109 | mmol/L | Anti-CCP-Ab | <0.6 | U/mL | Lymphocyte | 1,080 | /μL | LDH | 199 | U/L | Rheumatoid factor | <3 | IU/mL | RBC | 2.89 × 106 | /μL | Nt-proBNP | 460 | pg/mL | MPO-ANCA Ab | 1290 | U/mL | Hemoglobin | 8.5 | g/dL | KL-6 | 259.6 | U/mL | PR3-ANCA Ab | 1.1 | U/mL | Hematocrit | 25.2 | % | Haptoglobin | 110 | ng/mL | Anti-GBM Ab | <2.0 | U/mL | MCV | 87.2 | fl | Erythropoietin | 5.3 | IU/mL | Cryoglobulin | (—) | | Platelet | 186 × 103 | /μL | TSH | 7.11 | μIU/mL | Anti-CL.β2 GPI Ab | <1.2 | U/mL | Reticulocyte | 3.5 | ‰ | FT3 | 3.1 | pg/mL | C3 | 46.2 | mg/dL | ESR | 59 | mm/hr | FT4 | 1.2 | ng/dL | C4 | 22.5 | mg/dL | CRP | 0.35 | mg/dL | Anti-TPO Ab | 29 | IU/mL | CH50 | 27 | U/mL | | | | Anti-thyroglobulin Ab | 222 | IU/mL | C1q-IC | 2.2 | μg/mL |
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