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Table 1 Laboratory and diagnostic data

From: Adult cancer-related hemophagocytic lymphohistiocytosis – a challenging diagnosis: a case report

Characteristic (reference laboratory value)

Baseline

Peak of liver enzyme abnormalities

Admission

Steroid initiation

1 week post-steroid

2 weeks post-admission

White blood cell (4–11×103/uL)

5.5

4.0

5.0

8.5

4.8

41.0

Hemoglobin (14.0–18.0 gm/dL)

11.0

9.0

11.1

10.8

9.5

13.1

Platelet (140–440 K/uL)

164

109

60

75

29

96

Prothrombin time (12.7–15.0 seconds)

15.7

20.6

22.5

35.7

24.6

26.3

International normalization ratio (0.90–1.20)

1.25

1.80

2.02

3.76

2.22

2.43

Partial thromboplastin time (24.7–35.9 seconds)

42.0

37.7

31.6

45.1

30.1

32.9

Fibrinogen (mg/dL)

452

 

166

141

173

155

Albumin (g/dL)

2.9

2.3

2.3

2.2

3.3

4.0

Aspartate aminotransferase (15–46 U/L)

150

807

395

314

136

145

Alanine aminotransferase (7–56 U/L)

67

319

54

53

26

39

Alkaline phosphatase (38–126 U/L)

123

139

432

350

182

187

Gamma-glutamyl transferase (8–78 U/L)

42

  

148

291

252

Serum lactate dehydrogenase (U/L)

2372

3879

3449

 

2769

3867

Ferritin (30–400 ng/mL)

 

28,942

 

10,283

6031

5863

Serum triglyceride level (≤1500 mg/dL)

167

212

101

   

NK-cell activity (7–125 LU30)

     

5

CD25 (<1033 pg/mL)

   

3910

  

IL-1 (<1.0 pg/mL)

     

1.8

IL-6 (<5.0 pg/mL)

     

27

IFN-y (<2.0 pg/mL)

     

<0.4

Tumor necrosis factor (1.2–15.3 pg/mL)

     

20.9

  1. IFN interferon, IL interleukin, LU lytic unit, NK natural killer