Demyelinating polyneuropathy and lymphoplasmacytic lymphoma coexisting in 36-year-old man: A case report

Table 1 Laboratory blood test results at hospital admission

	Result	Normal range
Hematology
White blood cell count	20.31 × 103/µL	(4.0-10.0)
Red blood cell count	4.93 × 106/µL	(4.2-5.7)
Hemoglobin	12.3 g/dL	(13.5-6.5)
Hematocrit	38.7%	(40-53)
MCV	78.5 fL	(84-98)
MCH	24.9 pg	(27-31)
MCHC	31.8 g/dL	(32-36)
Platelets	704 × 103/µL	(130-400)
Lymphocytes	47.6%	(20-45)
Monocytes	7.1%	(3–9)
Neutrophils	44.2%	(45-70)
Eosinophils	0.20%	(1.00-5.00)
Basophils	0.4%	(0-1)
ESR	9 mm/h	(3-8)
Coagulation
aPTT	29.0 s	(25.4-36.9)
Thrombin time	16.6 s	(10.3-16.6)
Prothrombin time	11.3 s	(9.4-12.5)
INR	1.00 ng/mL	(0.80-1.20)
D-dimer	1744.0	(< 500.0)
Biochemistry
C-reactive protein	7.3 mg/L	(< 5.0)
Glucose	116.00 mg/dL	(74.00-106.00)
Creatinine	1.10 mg/dL	(0.84-1.25)
MDRD GFR	> 60 mL/min	(> 60)
Uric acid	6.37 mg/dL	(3.50-7.20)
Lactate dehydrogenase	196 U/I	(< 248)
Lactate (Lac)	2.10 mmol/L	(1.10-2.40)
Alkaline phosphatase	95 U/L	(38-126)
Alpha amylase	75.0 U/L	(< 90.0)
Lipase	44.00 U/I	(21.00-67.00)
Serum iron	26.00 µg/dL	(60.00-180.00)
UIBC	150.00 µg/dL	(155.00-300.00)
TIBC	176.0 µg/dL	(250.0-450.0)
Total cholesterol	133.0 mg/dL	(< 200)
Triglycerides	160.00 mg/dL	(0.00-150.00)
Hormones
Anti-TPO	< 5.00 IU/mL	(< 34.00)
TSH	5.230 µIU/mL	(0.27-4.2)
Cortisol	12.60 µg/dL	(4.82-19.50)
Electrolytes
Sodium	134.2 mmol/L	(136.0-146.0)
Potassium	4.95 mmol/L	(3.50-5.10)
Calcium-total	7.70 mg/dL	(8.80-10.60)
Phosphates inorganic	3.95 mg/dL	(2.50-4.50)
Liver enzymes
ALT	17.0 U/L	(< 45.0)
AST	20.0 U/L	(< 35.0)
GGT	15.00 U/L	(< 55.00)
Total bilirubin	0.19 mg/dL	(0.30-1.20)
Cardiac biomarkers
Troponin T high sensitivity	47.74 ng/L	(0.00-14.00)
Creatine Kinase	41 U/L	(< 170)
Creatine Kinase -MB	18 U/L	(< 25)
CKMB	43.9%	(< 6.0)
Pro-BNP	288.30 pg/mL	(0-125)
Serum protein electrophoresis
Albumin	49.2%	(53.8-65.2)
Alpha 1	7.2%	(1.1-3.7)
Alpha 2	21.1%	(8.5-14.5)
Beta	17.1%	(8.6-14.8)
Gamma	5.4%	(9.2-18.2)
A/G ratio	0.97	(1.27-1.96)
Total protein	4.30 g/dL	(6.60-8.30)
Albumin	2.30 g/dL	(3.5-5.2)
Virology tests
Anti-HCV	Negative
HbsAg	Negative
Anti-HIV	Negative
Immunoglobulins
Immunoglobulin A	25 mg/dL	(70-400)
Immunoglobulin G	193 mg/dL	(700-1600)
Immunoglobulin M	142 mg/dL	(40-230)
Rheumatology profile
ANA profile	Negative
Anti- CCP	0.47 RU/mL	(< 5.00)
Anti- dsDNA	13.9 IU/mL	(< 100)
p-ANCA	Negative
c-ANCA	Negative
Complement C3	134 mg/dL	(90-180)
Complement C4	35 mg/dL	(10-40)
Onconeural antibodies
Chromogranin A	363.250 µg/L	(< 100)
Anti-neuronal autoantibodies
(Hu. Yo. Ri. CV2. Ma2/Ta. amphiphysin. anti-GAD)	Negative

MCV: Mean corpuscular volume; MCH: Mean corpuscular hemoglobin; MCHC: Mean corpuscular hemoglobin concentration; ESR: Erythrocyte sedimentation rate; MDRD GFR: Modification of diet in renal disease glomerular filtration rate; UIBC: Unsaturated iron binding capacity; TIBC: Total iron binding capacity; anti-TPO: Anti thyroid peroxidase; TSH: Thyroid stimulating hormone; aPTT: Activated partial thromboplastin time; INR: International normalized ratio; ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; GGT: Gamma-glutamyl transferase; pro-BNP: B type natriuretic peptide; A/G: Albumin/globulin; HbsAg: Surface antigen of hepatitis B virus; anti-CCP: Anti cyclic citrullinated peptide; anti-dsDNA: Anti double stranded DNA; p-ANCA: Perinuclear antineutrophil cytoplasmic antibody; c-ANCA: Cytoplasmic antineutrophil cytoplasmic antibody.