24 November 2020
: Case report
A 45-Year-Old Man with Scleroderma Renal Crisis Associated with a History of Systemic Sclerosis Sine Scleroderma
Challenging differential diagnosis, Unusual setting of medical care, Rare disease
Panupong Hansrivijit1ABCDEF*, Kelechi F. Omeonu1BCDEF, Halimat O. Lawal1BCD, Mounika Gangireddy1BCD, Kinjal P. Gadhiya1BCD, Ravinder S. Dhatt1BCDDOI: 10.12659/AJCR.927030
Am J Case Rep 2020; 21:e927030
Table 1. Rheumatological investigations.
Investigation (unit) | Result | Investigation (unit) | Result |
---|---|---|---|
ANA titer | 320 | Urine immunofixation | Negative |
ANA pattern | Centromere | Serum immunofixation | Negative |
ESR (mm/hr) | 74 | Anti-GBM | Not detected |
CRP (mg/dL) | 21.72 | Anti-dsDNA (IU/mL) | <1 |
Complement C3 (mg/dL) | 122 | Anti-centromere | Not detected |
Complement C4 (mg/dL) | 30 | Anti-Scl-70 | Not detected |
Anti-MPO | Not detected | Anti-RNAP3 | Not detected |
Anti-PR3 | Not detected | LA/anti-cardiolipin | Negative |
ANA – antinuclear antibody; CRP – C-reactive protein; dsDNA – double-stranded deoxyribonucleic acid (DNA); ESR – erythrocyte sedimentation rate; GBM – glomerular basement membrane; LA – lupus anticoagulant; MPO – myeloperoxidase; PR3 – proteinase 3; RNAP3 – RNA polymerase 3; Scl – scleroderma. |