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31 August 2021: Articles

Vulvar Paget’s Disease Presenting with Fever and Left Inguinal and Peritoneal Lymphadenopathies

Mistake in diagnosis

Risa Hirata A , Masaki Tago A* , Yoshio Hisata A , Shu-ichi Yamashita A

DOI: 10.12659/AJCR.931600

Am J Case Rep 2021; 22:e931600

Table 1. Laboratory findings on admission.

White blood cells6.310/µL
Neutrophils58.8%
Lymphocytes33.2%
Red blood cells4.1410/µL
Hemoglobin12.8g/dL
Hematocrit39%
MCV94.2fl
Platelets26.510/µL
PT-INR1.06
APTT24.5sec
Fibrinogen304.2mg/dL
FDP2.5µg/mL
D-dimer0.73µg/mL
TP7.3g/dL
Albumin3.9g/dL
BUN18.1mg/dL
Cr0.61mg/dL
eGFR77.9mL/min/1.73 m
Uric Acid4.3mg/dL
T-Bil0.7mg/dL
Glucose89mg/dL
HbA1c5.2%
AST21U/L
ALT11U/L
LDH187U/L
ALP260U/L
γGTP15U/L
CK94U/L
Na142mmol/L
K4.2mmol/L
Cl108mmol/L
Ca9.5mg/dL
CRP0.05mg/dL
Ferritin164ng/mL
IL-2R339U/mL
HTLV-10C.O.I
ACE15.1IU/L
IgG1 639mg/dL
IgA208mg/dL
IgM45mg/dL
Tb-IFNγNegative
MCV – mean corpuscular volume; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; FDP – fibrin degradation products; TP – total protein; BUN – blood urea nitrogen; Cr – creatinine; eGFR – estimated glomerular filtration rate; T-Bil – total bilirubin; HbA1c – glycated hemoglobin A1c; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; ALP – alkaline phosphatase; γ-GTP – γ-glutamyl transpeptidase; CK – creatine phosphokinase; Na – sodium; K – potassium; Cl – chloride; Ca – calcium; CRP – C-reactive protein; sIL-2R – soluble interleukin-2 receptor; HTLV-1 – human T-cell leukemia virus type 1; ACE – angiotensin-converting enzyme; IgG – Immunoglobulin G; IgA – immunoglobulin A; IgM – immunoglobulin M; Tb-IFNγ – interferon gamma release assay.

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