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07 March 2021: Articles

Kikuchi-Fujimoto Disease: Report of a Case with Progression to Lupus Nephritis

Challenging differential diagnosis, Rare coexistence of disease or pathology

Jorge Hurtado-Díaz B , María Lucero Espinoza-Sánchez C , Eduardo Rojas-Milán D , Erik Cimé-Aké E , María de los Ángeles Macias G , Lizeth Romero-Ibarra F , Olga Lidia Vera-Lastra F*

DOI: 10.12659/AJCR.927351

Am J Case Rep 2021; 22:e927351

Table 1. Evolution of laboratory finding. On admission, discharge after 1 month, 2 months and 1 year of evolution.

On admissionDischarge after 1 monthAfter 2 monthsAfter 1 year
Hemoglobin g/dL4.78.07.613.1
Leukocytes 10/L1.9006.0004.5005.100
Lymphocytes 10/L100010005001630
Platelets 10/L63 000144 000116 000307 000
Proteinuria in Urine g/dl 24 hNormal14 g/24 h140 mg/24 h
Leucocyturia HPF6–8 per HPF1–2 per HPFUncontainable0–1 per HPF
Erythrocyturia HPFUncontainable1–2 per HPFUncontainableNegative
Proteinuria total mg/dl100 mg/dl30 mg/dl>500 mg/dlNegative
Serum proteins g/dl3.906.204.26.4
Albumin g/dl1.603.803.04.1
Creatinine mg/dl1.030.401.100.54
Total bilirubin mg/dl1.930.670.350.40
Direct bilirubin mg/dl1.
Indirect bilirubin mg/dl0.880.560.160.16
AST U/L898431668.1
ALT U/L1681544105.5
Alkaline phosphatase UI/L54259110
Lactate dehydrogenase UI/L1024146316220
PCR mg/L30.55.55
Coombs direct/indirectNegative
Rheumatoid factor UI/mlNegative
C3 mg/dl NLV: 80–200 mg/dl1029105
C4 mg/dl NLV: 10–50 mg/dl612
ANA NLV: Negative1: 80 Speckled fine pattern1: 80 Speckled fine pattern1: 160 Speckled fine Pattern
Anti-dsDNA U/mL NLV: NegativeNegativePositivePositive
Lupus anticoagulantNegative
Anticardiolipin Ig G UNegative
Anticardiolipin Ig M UNegative
NLV – normal laboratory values; HPF – high-power field; ANA – anti-nuclear antibodies; Anti-dsDNA – anti-double-stranded deoxyribonucleic acid antibodies.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923