A 28-Year-Old Woman Presenting with a Clinical Flare of Systematic Lupus Erythematosus and Abdominal Pain Due to Rectus Sheath Hematoma

15 June 2022 : Case report China (mainland)

Rare coexistence of disease or pathology

Jin-Lan Liao^12ABDEF, Feng-Yan Zha^13BCDEF, Brendan Smyth^2DEF, Zu-Ying Xiong^1DEF*

DOI: 10.12659/AJCR.935472

Am J Case Rep 2022; 23:e935472

Background Case Report Discussion Conclusions References:

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Table 1. Laboratory data.

Variable	On admission	Day 42	Day 216	Reference range
WBC (×10/L)	3.71	2.35	8.46	3.50–9.50
Hemoglobin (g/L)	118	90	72	115–150
Platelets (×10/L)	103	113	112	125–350
ESR (mm/H)	24	–	74	0–15
Creatinine (µmol/L)	114	179	102	46–92
Albumin (g/L)	12.3	17.7	26.4	40–55
Cholesterol (mmol/L)	12.1	8.1	6.42	0–5.72
Triglyceride (mmol/L)	18.07	5.8	3.36	0–1.70
LDL-C (mmol/L)	5.49	5.36	4.43	0–3.64
24-h urinary protein excretion (g/24 h)	15.02	11.46	1.13	0.05–0.1
Urinalysis
Protein	4+	4+	–	Negative
WBC (/HP)	20–30	2–5	–	0–5
RBC (/HP)	15–20	4–7	–	0–3
Hyaline cast (/LP)	10–15	1–3	–	0–1
granular cast (/LP)	30–40	0	–	0–1
Rheumatological studies
ANA	1: 1000	1: 100	<1: 100	<1: 100
dsDNA	Negative	Negative	Negative	Negative
LA	Negative	–	–	Negative
nRNP/Sm	3+	–	3+	Negative
Sm Ab	1+	–	Negative	Negative
Ro-52	3+	–	1+	Negative
SSA	3+	–	2+	Negative
AnuA	1+	–	Negative	Negative
AHA	2+	–	Negative	Negative
aPL	Negative	–	Negative	Negative
ANCA	Negative	–	–	Negative
C3 (g/L)	0.13	0.40	1.27	0.75–1.8
C4(g/L)	0.14	–	0.18	0.09–0.36
WBC – white blood cell; ESR – erythrocyte sedimentation rate; LDL-C – low-density lipoprotein cholesterol; HP – high-power field; RBC – red blood cell; LP – low-power field; ANA – antinuclear antibodies; ds-DNA – double-stranded DNA; LA – lupus anti-coagulant; Ab – antibodies; aPL – antiphospholipid antibodies; ANCA – antineutrophil cytoplasmic antibody.

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