11 April 2023: Articles
A 30-Year-Old Woman with a History of Autoimmune Hyperthyroidism Presenting with Fever and Oral Ulcers, Diagnosed with Discoid Lupus Erythematosus
Unusual clinical course, Challenging differential diagnosis
Jing Chen E , Yulei Gao F* , Yanfen Chai A , Hua Gao A*DOI: 10.12659/AJCR.938988
Am J Case Rep 2023; 24:e938988
Table 1. Results of complete blood count, thyroid function tests, TSH-R-Ab, liver function tests, and inflammatory markers at the different evaluation points.
| Data | Reference value | 11–18* | 11–22 | 11–27 | 12–13 | 12–20 | 3–24** |
|---|---|---|---|---|---|---|---|
| Complete blood count | |||||||
| WBCs (×10/L) | 3.50–9.50 | 0.97 | 1.12 | 11.54 | 12.10 | 9.17 | 7.83 |
| Neutrophil percentage (%) | 40.0–75.0 | 1.0 | 2.6 | 53.7 | 60.1 | 55.5 | 53.5 |
| Lymphocyte percentage (%) | 20.0–50.0 | 88.7 | 86.6 | 41.0 | 32.6 | 37.1 | 40.3 |
| RBCs (×10/L) | 3.80–5.10 | 3.71 | 3.62 | 4.49 | 4.89 | 5.00 | 5.07 |
| Hemoglobin (g/L) | 115–150 | 92 | 88 | 112 | 130 | 132 | 161 |
| PLTs (×10/L) | 125–350 | 116 | 230 | 371 | 294 | 205 | 205 |
| Thyroid function tests | |||||||
| TSH (uIU/mL) | 0.350–4.940 | 1.113 | |||||
| FT3 (pmol/L) | 2.43–6.01 | 7.97 | 5.16 | 3.28 | >30.72 | >30.72 | 4.58 |
| FT4 (pmol/L) | 9.01–19.05 | 26.46 | 34.97 | 15.39 | 51.02 | 64.26 | 18.00 |
| TSH-R-Ab (IU/L) | 0.00–1.75 | 33.94 | 10.83 | 7.83 | |||
| Liver function tests | |||||||
| ALT (U/L) | 5–40 | 9 | 76 | 39 | 99 | 59 | 21 |
| AST (U/L) | 8–40 | 16 | 34 | 13 | 46 | 32 | 27 |
| GGT (U/L) | 7–49 | 49 | 86 | 107 | 69 | 63 | 62 |
| LDH(U/L) | 94–250 | 107 | 114 | 161 | 197 | 195 | 147 |
| Albumin (g/L) | 35–55 | 18 | 23 | 34 | 69 | 38 | 48 |
| TBIL (μmol/L) | 3.4–20.0 | 22.5 | 22.8 | 9.2 | 11.4 | 17.8 | 15.3 |
| Inflammatory markers | |||||||
| CRP (mg/L) | 0.00–10.00 | 197.27 | 47.62 | 7.25 | 0.23 | ||
| PCT (ng/mL) | 0.04–0.50 | 7.74 | 1.16 | 0.18 | 0.16 | ||
| * Admission; ** three months after radioactive iodine (RAI) treatment. WBCs – white blood cells; RBCs – red blood cells; PLTs – platelets; TSH – thyroid-stimulating hormone; FT3 – free triiodothyronine; FT4 – free thyroxine; TSH-R-Ab – thyroid-stimulating hormone receptor antibody; ALT – alanine aminotransferase; AST – aspartate aminotransferase; GGT – γ-glutamyl transpeptidase; LDH – lactate dehydrogenase; TBIL – total bilirubin; CRP – C-reactive protein; PCT – procalcitonin. | |||||||