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Table 2 Patient’s laboratory values

From: A multidisciplinary case report of multiple myeloma with renal and cardiac involvement: a look beyond amyloidosis

 

Normal range

Onset

Month 1

Admission

(mo 2)

After surgery

After 1 month of CHT

(mo 4)

After 3 months of CHT

(mo 6)

After 6 months of CHT (mo 9)

1mo after ASCT

(mo 11)

Serum creatinine (mg/dl)

0.50–1.10

1.5

1.9

2.36

1.99

1.31

1.34

1.33

1.28

eGFR (CKD-EPI) (ml/min/1.73mq)

90–140

40

29.8

22.9

28.2

46.7

45.4

46

48

urea (mg/dl)

10–50

N/A

80

110

80

110

N/A

50

50

Hb (g/dl)

12–16

13.2

12.1

13

10.3

11

10.7

12.3

10.5

WBC (10^9/L)

4.0–10.0

8.10

7.24

9.55

12.70

5.60

9.95

5.03

3.25

PLT (10^9/L)

140–440

168

127

118

70

131

117

171

21

INR

0.8–1.2

N/A

N/A

N/A

2.7

2.1

2.6

3.0

2.5

aPTT (sec)

25.0–38.0

N/A

N/A

N/A

25.9

31

N/A

46.1

N/A

Serum immunofixation

Negative

N/A

Kappa FLC

Kappa FLC

Kappa FLC

Kappa FLC

Kappa FLC

Neg

Neg

Kappa light-chain (mg/L)

3.30–19.40

N/A

96 000

93 304

96 256

36.4

17.5

18.76

0.75

Lambda light-chain (mg/L)

5.7–26.30

N/A

5.33

4.64

5.46

21.62

11.98

11.4

1.11

FLC ratio

0.26–1.65

N/A

18 000

21 277

17 629

1.67

1.46

1.64

0.68

D-Dimer (ng/ml)

 < 500

N/A

N/A

7541

4796

N/A

436

 < 200

 < 200

NT-Pro-BNP (pg/mL)

1–125

N/A

455

1242

722

N/A

1 566

N/A

826

Troponin T HS (pg/ml)

 < 14

N/A

N/A

328

2298

N/A

28.8

N/A

N/A

Bence-Jones proteinuria (g/24 h)

Negative

N/A

1.71

0.65

1.61

Trace

Neg

Neg

Neg

Proteinuria (g/24 h)

 < 0.15

7.0

6.58

2.8

N/A

1.2

3.15

1.07

1.1

β2 microglobulin (mg/L)

1.2–2.5

102

133

146

133

5.8

4

N/A

N/A

IL-6 (pg/mL)

0.0–10.0

N/A

N/A

N/A

113.5

74.2

2.4

N/A

N/A

Albumin (g/L)

35–50

N/A

40

35.6

40

27

36.5

45.9

40.0

Total serum protein (g/dL)

6.0–8.2

N/A

N/A

7.6

4.5

5

5.3

6.1

5.8

Total serum calcium (mg/dl)

8.6–10.2

9.3

N/A

9.9

8.8

7.6

9.2

9.6

8.3

IgG (g/L)

7.0–16.0

N/A

N/A

0.91

1.15

2.67

2.15

3.91

3.09

IgA (g/L)

0.7–4.00

N/A

N/A

 < 0.07

0.09

0.56

0.55

0.61

 < 0.07

IgM (g/L)

0.4–2.30

N/A

N/A

 < 0.04

0.05

0.71

0.16

0.23

0.11

Gamma-globulin (%)

11.1–18.8

N/A

N/A

22.2

19.7

5.3

3.8

6.2

6.7

C3 (g/L)

0.90–1.80

N/A

N/A

1.3

N/A

N/A

1.12

N/A

N/A

C4 (g/L)

0.10–0.40

N/A

N/A

0.5

N/A

N/A

0.32

N/A

N/A

  1. ASCT autologous stem cell transplantation, CHT chemotherapy, mo month, eGFR estimated Glomerular Filtration Ratio, FLC Free light chain, Hb Hemoglobin, IL-6 interleukin 6; INR, International Standardized Ratio, N/A not available, Neg negative, PLT platelet, WBC white blood cell
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BMC Nephrology

ISSN: 1471-2369

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