10 February 2023>: Articles
Aleukemic Acute Promyelocytic Leukemia: How Concomitant HIV, Hepatitis C, and Chronic Alcohol Use Disorder May Have Hidden an Underlying Malignancy
Challenging differential diagnosis, Rare disease, Rare coexistence of disease or pathology
Anas Mahmoud A , Moutaz Ghrewati A , Brooke Kania A* , Minha Naseer A , Ashima Kapoor E , Patrick Michael ADOI: 10.12659/AJCR.938086
Am J Case Rep 2023; 24:e938086
Table 1. Laboratory studies.
Laboratory studies | Values on admission | Values on discharge | Reference range |
---|---|---|---|
White blood cell count | 1.2×10/mm | 4.4×10/mm | 4.5–11.0 |
Red blood cell count | 1.89×10/mm | 2.5×10/mm | 4.33–5.83 |
Hemoglobin | 6.6 g/dL | 8.2 g/dL | 13.5–17.5 |
Hematocrit | 19.5% | 24% | 41.0–53.0 |
Mean corpuscular volume | 103.2 fL | 96.0 fL | 80.0–100.0 |
Mean corpuscular hemoglobin | 34.9 pg | 32.8 pg | 26.0–32.0 |
Mean corpuscular hemoglobin concentration | 33.8 g/dL | 34.2 g/dL | 31.0–37.0 |
Red cell distribution width | 21.3% | 19.9% | 0.5–16.5 |
Platelet count | 45 K/mm | 249 K/mm | 140–440 |
Prothrombin time | 13.4 seconds | 12.2–14.9 | |
International normalized ratio | 1.0 | N/A | |
Partial thromboplastin time | 28 seconds | 21.3–35.1 | |
Fibrinogen level | 289 mg/dL | 183–503 | |
Iron Level | 156 mcg/dL | 50–212 | |
Total iron binding capacity | 270 mcg/dL | 250–450 | |
Iron saturation | 58% | 15–50 | |
Ferritin level | 458 ng/mL | 16.4–294 | |
Folate level | 11 ng/mL | ≥4.1 | |
B12 level | >1500 pg/mL | 211–911 | |
B-type natriuretic peptide | 587 pg/mL | 1–100 | |
Troponin-I | 17 pg/mL | 3–23 | |
Alcohol level | ≤10 | ||
U Amphetamine Scr | Negative | Negative | |
U Barbiturate Scr | Negative | Negative | |
U Benzodiazapine Scr | Negative | Negative | |
U THC Scr | Positive | Negative | |
U Opiate Scr | Positive | Negative | |
U PCP Scr | Negative | Negative | |
HIV 1,2 Ag/Ab Combo | 548.71 s/co | N/A | |
HIV 1,2 Index | ≥1.00 | ||
HIV 1,2 Ag/Ab Interpretation | Reactive | Non-reactive | |
%CD4 Pos Lymph | 54.6% | 30.8–58.5 | |
%CD8 Pos Lymph | 33.4% | 12.0–35.5 | |
Abs CD4 Helper | 491/mcL | 359–1519 | |
Abs CD8 Suppressor | 301/mcL | 109–897 | |
HCV Ab | > 11.0 s/co | 0.0–0.9 | |
HCV Load | 1890000 | ||
Hep B Core IgM Ab | Negative | Negative | |
Hep B Core Total Ab | Positive | Negative | |
Hep B Surf Ab | Non-reactive | Non-reactive |