From: Adult onset Still’s disease in a patient with scleroderma: case report
Infectious | - Respiratory viral panel: negative - Blood cultures: no growth - Bone marrow cultures: no growth - Urinalysis: negative - Rapid strep test: negative - ASO titer: within normal limits - Hepatitis B: negative - Hepatitis C: negative - HIV: negative - CMV: IgM negative, IgG positive - EBV: IgM negative, IgG positive - Parvovirus B19: IgM negative, IgG positive |
Rheumatologic | - ANA screen: negative - Rheumatoid factor: negative - Anti-CCP: negative - Anti-RNA polymerase III: negative - Anti-MPO/PR3: negative - Ferritin: > 20000 ng/mL (Ref: 11–306) - CRP: 206 mg/L (Ref: 0.0–4.9) - ESR: 34 mm/hr (Ref: 0.0–30) - Soluble CD 25: 1933 pg/mL (Ref: < 1033) - C3: 174.4 mg/dL (Ref: 81–157) - C4: 30.8 mg/dL (Ref: 12.9–39.2) |
Hematologic | - Uric acid: 5.8 mg/dL (Ref: 2.4–5.7) - LDH: 730 U/L (Ref: 135–214) - Haptoglobin: 373 mg/dL (Ref: 16–200) - PT: 14.4 s (Ref: 9.4–11.8) - INR: 1.4 (Ref: 1.0) - PTT: 28 s (Ref: 22–30) - D-dimer: 3.65 mg/L (Ref: 0.0-.50) - Fibrinogen: 550 mg/dL (Ref: 173–417) - Bone marrow biopsy: hypercellular bone marrow with increased and left-shifted granulopoiesis with no evidence of hemophagocytosis |