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Table 1 Summary of the hematological and biochemical investigations

From: Polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin (POEMS) changes syndrome presenting with a pseudosensory level: a case report

Investigation

Value

Reference range

White cell count

10,570

4000–11,000 cells/microL

Neutrophils

7870

2000–7000 cells/microL

Lymphocytes

1460

1000–4000 cells/microL

Hemoglobin

12.4

12–16 g/dL

Platelets

379,000

150,000–450,000/microL

Blood film

No abnormal cells seen. Within normal limits

 

Ionized calcium

1.29

1.12–1.32 mmol/L

Serum creatinine

56

70–110 micromol/L

Sodium

134

135–145 mmol/L

Potassium

4.7

3.5–4.5 mmol/L

AST

32

< 40 U/L

ALT

30

< 35 U/L

Albumin

35

35–45 g/L

Globulin

40

30–40 g/L

ALP

106

30–120 U/L

ESR

11

< 20 mm/first hour

CRP

28

< 6 mg/L

TSH

4.461

0.35–4.78 mIU/L

Free T4

0.93

0.89–1.76 ng/dL

Rheumatoid factor

< 8

< 8 IU/L

Anti-nuclear antibodies

Negative

 

HIV 1 and 2 antigen/antibody

Negative

 

Blood culture

No growth

 

Urine full report

 Proteins

1+

 

 Pus cells

2–4/HPF

 

 Red cells

1–2/HPF

 

 Casts

Nil

 

 Urine culture

No growth

 
  1. ALP alkaline phosphatase, ALT alanine transaminase, AST aspartate transaminase, CRP C-reactive protein, ESR erythrocyte sedimentation rate, HIV human immunodeficiency virus, HPF high-power field, TSH thyroid-stimulating hormone, T4 thyroxine