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23 November 2025 : Case report  Saudi Arabia

Idiopathic Intracranial Hypertension as the Initial Manifestation of Systemic Lupus Erythematosus: A Case Report and Literature Review

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare coexistence of disease or pathology

Abdulaziz Almalki AE 1, Asayel Abdullah Alosaimi BEF 2, Abdulhameed Sarriyah ORCID logo AEFG 2*, Sarah Alqasem AEF 2, Qusai Alwazna AEF 3, Faisal Theeb Alqahtani AEF 2

DOI: 10.12659/AJCR.950115

Am J Case Rep 2025; 26:e950115

Table 2 Laboratory results upon admission (in Emergency Department).

TestValueReference range
White blood cells1.41×10/L(4–10)×10/L
Hemoglobin8.50 g/dL(12–15) g/dL
Hematocrit25.30%(36–46)%
Mean corpuscular hemoglobin28.60 pg(27–32) pg
Mean corpuscular volume85.20 fL(83–101) fL
Platelet count42 ×10/L(150–410)×10/L
Neutrophils52.50%(40–80)%
Lymphocytes40.40%(20–40)%
Eosinophils0%(1–6)%
Serum creatinine0.92 mg/dL(0.5–1.1) mg/dL
Urea63 mg/dL(20–48) mg/dL
Sodium134 mmol/L(135–151) mmol/L
Potassium5.16 mmol/L(3.4–5.1) mmol/L
Albumin2 g/dL(3.97–4.94) g/dl
Lactate dehydrogenase266 U/L(135–214) U/L
Aspartate aminotransferase23 U/L(0–35) U/L
Alanine aminotransferase22 U/L(0–41) U/L
Bilirubin total0.158 mg/dL(0–1.1) mg/dL
International normalized ratio1.1(0.8–1.2)
Prothrombin time12.90 s(11.7–15.3) s
Activated partial thromboplastin time27.90 s(26–40) s
Direct Coombs testPositive
C-reactive protein0.17 mg/L(0–0.5) mg/L
Erythrocyte sedimentation rate122 Mm(0–12) Mm
Thyroid-stimulating hormone5.27 Uu/mL(0.27–4.2) Uu/mL
Thyroxine12.22 pmol/L(12.3–20.2) pmol/L
Triiodothyronine3.22 pmol/L(3.6–6.9) pmol/L
Vitamin B12188 pmol/L(191–663) pmol/L

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