Table 1: Lab parameters of the patient.
Lab parameters |
Patient |
Reference value |
Hemoglobin |
10.9 gm/dl |
11-12 gm/dl |
WBCs |
16000/mL |
< 12000/mL |
Platelets |
1.9 lacs/mL |
1.5-4.5 lacs/mL |
Erythrocyte sedimentation rate |
3 mm in 1st hour |
< 20 mm in 1st hour |
HsCRP |
38.20 mg/dL |
< 6 mg/dL |
Serum sodium |
141 mEq/L |
135-145 mEq/L |
Serum potassium |
1.74 mEq/L |
3.5-5.1 mEq/L |
TSH Free T3 Free T4 |
1.09 mIU/L 0.57 pg/ml 0.615 ng/dl |
TSH - 0.3-4.0 mIU/L Free T3 - 2.2-4.2 pg/ml Free T4 - 0.80-1.70 ng/dl |
ABG |
pH-7.13, pCO2- 23 mmHg, HCO3-6.8 mmol/L, Na-140 mmol/L, K-1.74 mmol/L, Chloride-122 mmol/L, Serum Osmolality-305 mosm/kg |
|
Urinalysis |
pH-7, urinary Na-68 mmol/L, urinary K-37 mmol/l, urinary Chloride-97 mmol/L, urine osmolality-327 mosm/kg |
|
Serum anion gap |
10.8 mmol/L |
Normal range 8-12 mmol/L |
Urinary anion gap |
8 mmol/L (positive) |
Positive - in favor of renal potassium loss |
TTKG |
18.45 |
TTKG > 4 - suggestive of renal loss |
Fractional bicarbonate excretion |
4.10% |
< 5% - in favor of distal RTA |
KFT |
Urea-83 mg/dl, Creatinine-1.97 mg/dl |
Urea - 17-43 mg/dl Creatinine 0.6-1.1 mg/dl |
eGFR |
26.8 mg/min/m2 |
< 60 mg/min/m2 - renal dysfunction |
Viral markers |
HIV-negative HBsAg-negative Anti HCV-negative |
Negative |
Autoimmune profile |
ANA-Positive, Anti SS-A-positive, Anti SS-B-positive, |
Negative |
Schrimmers Test |
3 mm in both eyes |
< 10 mm - suggestive of dry eye |
CECT brain |
No abnormalities detected |
|
Ultrasound abdomen |
No evidence of nephrocalcinosis |
|
Buccal mucosa punch biopsy |
Mild lymphocytic inflammation and unremarkable minor salivary glands. |
|
mg: milligram; dL: decilitre; mmol: millimole; nmol: nanomole; L: liter; μL: microliter; U: units; μmol: micromole; mm: millimeter; μg: microgram; gm: gram; mosm: milli osmoles