Acquired amegakaryocytic thrombocytopenia previously diagnosed as idiopathic thrombocytopenic purpura in a patient with hepatitis C virus infection

Table 1 Laboratory data on last admission

CBC		Chemistry
WBC	8.21 × 103/μL	TP	6.4 g/dL	Na	129 mEq/L
Neutrophils	89%	Alb	2.4 g/dL	K	4.8 mEq/L
Lymphocytes	7%	BUN	29.5 mg/dL	Cl	96 mEq/L
RBC	3.64 × 106/μL	Cre	1.13 mg/dL	Glu	178 mg/dL
Hemoglobin	10 g/dL	AST	78 U/L	CRP	1.08 mg/dL
HCT	30%	ALT	55 U/L	NH3	63 μg/dL
Platelets	41 × 103/μL	γ-GT	88 U/L	HCV-Ab	12.8 COI
		T-bil	3.88 mg/dL	HCV (RT-PCR)	5.2 L.IU/mL
Coagulation		D-bil	2.72 mg/dL	T-AFP	571.4 ng/mL
PT	17.2 s	ALP	402 U/L	AFP L3	42.2 ng/mL
APTT	39.3 s	LD	273 U/L	PIVKA2	15 mAU/mL
Fibrinogen	123 mg/dL	AMY	63 U/L
D-dimer	5 μg/mL	ChE	27 U/L

AFP L3: Alpha-fetoprotein L3 isoform; ALP: Alkaline phosphatase; ALT: Alanine aminotransferase; AMY: Amylase; AST: Aspartate aminotransferase; BUN: Blood urea nitrogen; CBC: Complete blood count; ChE: Cholinesterase; Cre: Creatinine; CRP: C-reactive protein; D-bil: Direct bilirubin; Glu: glucose; HCV-Ab: Hepatitis C antibody; HCT: Hematocrit; HCV (RT-PCR): Hepatitis C RNA (reverse transcriptase polymerase chain reaction); LDH: Lactate dehydrogenase; PIVKA2: Protein induced be vitamin K absence 2; PT: Prothrombin time; RBC: Red blood cells; T-AFP: Total alpha-fetoprotein; T-Bi: Total bilirubin; TP: Total protein; WBC: White blood cell; γ-GT: γ-glutamyltransferase.