Case Report
Copyright ©The Author(s) 2020.
World J Clin Cases. Dec 26, 2020; 8(24): 6396-6407
Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6396
Table 2 Related clinical manifestations and immune indicators of the patient
Serial
No.
Diagnostic indexes
Clinical manifestation 1Fever (37.6-40 °C)
2Acute cutaneous lupus erythematosus (“butterfly rash”, “discoid Rash”)
3Serositis (lung CT images: Serous membrane fluid)
4Synovitis (mild joint pain of wrist joint of both hands)
5Blood system involvement (leukopenia 2.3 × 109/L, hemolytic anemia 95 g/L, thrombocytopenia 50 × 109/L; ESR 37 mmHg)
6Renal system involvement (24-h urine protein 5422.00 mg; RBC under microscope: ++/HP, protein: +2, RBC morphological information: Heterogeneous cell type)
7Aphthous ulcers
Immunological indicators8ANA level above laboratory reference range (1:1000)
9Anti-dsDNA antibodies (+)
10Anti-SSA (+)
11Anti-Sm antibodies (+)
12Antiphospholipid antibodies (IgA 4.21 mg/L, IgG 18.5 g/L)
13Low complement (C3: 0.21 g/L, C4: 0.04 g/L)
14CD3+CD4+CD28CD4 (37.0%)