Case Report

A New Case of Granulomatosis with Polyangiitis Presented with Tolosa–Hunt Syndrome Manifestations

Table 1

On admission laboratory results of a 40-year-old patient with Tolosa–Hunt syndrome.

Test (value)ResultReference valueInterpretation

White blood cell count (×109/L)8.624.5–11Normal
Hemoglobin (g/L)14.913.2–17.3Normal
Platelet count (×3/μl)351150–450Normal
Blood urea nitrogen (mg/dL)9.57–20Normal
Creatinine (mg/dl)1.040.5–1.4Normal
Lactate dehydrogenase (IU/L)3020–500Normal
TroponinNegativeNegativeNormal
Blood sugar (mg/dL)99100–125Normal
Prothrombin time (sec)11.8710–13Normal
Partial thromboplastin time (sec)2925–35Normal
international normalized ratio1.02<1.1Normal
Sodium (mEq/L)140135–145Normal
Potassium (mEq/L)4.103.5–5.3Normal
Calcium98.5–10Normal
Aspartate aminotransferase (U/L)195–40Normal
Alanine aminotransferase (U/L)95–40Normal
Alkaline phosphatase (IU/L)22044–147Normal
Total protein (g/dl)7.56.6–7.8Normal
Albumin (g/dl)4.983.8–5.1Normal
T3 (nmol/L)0.931.2–2.8Normal
T4 (μg/dL)9.075.0–12.0Normal
Thyroid-stimulating hormone (mU/l)3.440.3–4Normal
Erythrocyte sedimentation rate (mm/hr)7.9<20Normal
C-reactive-protein (mg/L)5<6Normal
Complement component 3 (mg/dL)12270–196Normal
Complement component 4 (mg/dL)1610–40Normal
Rheumatoid factor (IU/mL)5<15Normal
Antinuclear cytoplasm antibody-proteinase 333.7<10High
Perinuclear antineutrophil cytoplasmic antibodies-myeloperoxidase22.8<10High
Anti-Sjögren’s syndrome type B-LA (IU/ml)16.7<7High
Anti-Sjögren’s syndrome type A-RO (IU/ml)11.7<7High
Antinuclear antibody (IU/ml)0.3<0.1High
Creatinine kinase (mcg/L)6310–120Normal
Human T-lymphotropic virus (serum)NegativeNegativeNormal
Carbon dioxide (mEq/L)37.723–30Normal
Bicarbonate (mEq/L)20.322–28Normal
Angiotensin converting enzyme (nmol/mL/min)<2.4<40Normal
Anticardiolipin IgG (U/mL)9.4<15Normal
Anticardiolipin IgM (U/mL)13.512.5–20Normal
Hepatitis B virus surface antigenNegativeNegativeNormal
Hepatitis B virus core antibody0.03<1Normal
Hepatitis C antibodyNegativeNegativeNormal
Human immunodeficiency virus antibodyNegativeNegativeNormal
SARS-CoV-2 (polymerase chain reaction)NegativeNegativeNormal
UrinalysisBlood 1+ (red blood cells: 8–10, dysmorphic 20%)Hematuria
Purified protein derivative test<1 cm<1.5 cmNegative
Cerebrospinal fluidProtein: 31; lactate dehydrogenase: 24; sugar: 58; culture: negative; cell count: red blood cells: not seen, white blood cells: 1Normal, acellular