22 October 2020>: Articles
An Autopsy Case of an Elderly Patient with Classic Hodgkin Lymphoma Presenting with a Plethora of Clinical Symptoms and Signs
Unusual clinical course, Mistake in diagnosis
Hiroshi Kobayashi A* , Ryouya Seki B , Masuo Ujita B , Kana Hirayama B , Satoshi Yamada B , Riuko Ohashi B , Yoshiro Otsuki B , Takuya Watanabe C , Tadashi Yoshino CDOI: 10.12659/AJCR.926177
Am J Case Rep 2020; 21:e926177
Table 1. Blood test results.
Test | Result |
---|---|
Comprehensive metabolic panel | |
Sodium | 143 mEq/L |
Potassium | 4.1 mEq/L |
Chloride | 104 mEq/L |
Blood urea nitrogen | 47.9 mg/dL |
Creatinine | 1.24 mg/dL |
Estimated glomerular filtration rate | 33 mL/min |
Total protein | 6.5 g/dL |
Albumin | 2.2 g/dL |
C-reactive protein | 15.34 mg/dL |
Hemoglobin A1c | 10.0% |
Blood glucose | 405 mg/dL |
Liver function panel | |
Lactate dehydrogenase | 185 U/L |
Total bilirubin | 0.5 mg/dL |
Aspartate transaminase | 46 U/L |
Alanine transaminase | 99 U/L |
Alkaline phosphatase (ALP) | 1291 U/L |
ALP1 | 21% |
ALP3 | 5% |
γ-Glutamyltransferase | 22 U/L |
Hepatitis B surface antigen | Negative |
Hepatitis C virus antibody | Negative |
Lipid and thyroid panels | |
Total cholesterol | 87 U/mL |
Triglycerides | 46 mg/dL |
Low-density lipoprotein cholesterol | 134 U/mL |
High-density lipoprotein cholesterol | 46 U/mL |
Thyrotropin | 0.16 μIU/mL |
Free triiodothyronine | 1.00 pg/mL |
Free thyroxine | 0.63 ng/mL |
Complete blood count and coagulation panel | |
White blood cells | 9900/mm |
Neutrophils | 90.0% |
Basophils | 0% |
Eosinophil | 0% |
Lymphocytes | 2.0% |
Monocytes | 6.0% |
Red blood cells | 422×10/mm |
Hemoglobin | 12.2 g/dL |
Hematocrit | 37.2% |
Platelets | 28.4×10/mm |
Prothrombin time, international normalized ratio | 1.20 |
Prothrombin time% | 52% |
Prothrombin time | 14.2 s |
Activated partial thromboplastin time | 31.6 s |
D-dimer | 1.3 μg/mL |
Fibrinogen | 434 mg/dL |
Tumor marker panel | |
Serum amylase | 59 U/L |
Pancreatic amylase | 54 U/L |
CA 19-9 | 80.86 U/L |
Carcinoembryonic antigen | 5.51 ng/mL |
Elastase | 1006 ng/dL |
DUPAN-2 | 108 U/mL |