Nodal Marginal Zone Lymphoma with IgG and IgM Secretion of Kappa Light Chain: Case Report
Table 1.
Laboratory test results
|
| Laboratory Test |
Result |
Reference Range |
|
|
| White blood cells (/μl) |
3,400 |
4,000 – 10,000 |
|
| Red blood cells (/μl) |
2.43×10⁶ |
5 – 5.5 |
|
| Hemoglobin (g/dL) |
6.9 |
13 – 18 |
|
| Hematocrit (%) |
23 |
40 – 54 |
|
| MCV (fL) |
94.7 |
80 – 98 |
|
| MCH (pg) |
28.4 |
27 – 32 |
|
| MCHC (%) |
32.40 |
32 – 36 |
|
| Platelets (/μl) |
578,000 |
150,000 – 400,000 |
|
| Neutrophils (/μl) |
1,780 |
1,500 – 7,000 |
|
| Lymphocytes (/μl) |
1,370 |
1,000 – 4,000 |
|
| Monocytes (/μl) |
490 |
200 – 800 |
|
| Eosinophils (/μl) |
60 |
0 – 500 |
|
| Basophils (/μl) |
10 |
0 – 200 |
|
| Reticulocytes (/μl) |
58,800 |
20,000 – 80,000 |
|
| Prothrombin Time (PT, %) |
66 |
70 – 100 |
|
| Activated Partial Thromboplastin Time (sec) |
28.6 |
25 |
|
| Urea (g/L) |
0.27 |
0.15 – 0.45 |
|
| Creatinine (mg/L) |
7.34 |
7.2 – 12.5 |
|
| Total proteins (g/L) |
69,4 |
64 – 83 |
|
| LDH (U/L) |
270 |
125 – 243 |
|
| C-Reactive Protein (mg/L) |
4.93 |
0 – 5 |
|
| Procalcitonin (ng/mL) |
0.02 |
<0.1 |
|
| 24-hour proteinuria (mg/day) |
575.23 |
< 100 |
|
| Ferritin (ng/mL) |
408.67 |
22 – 275 |
|
| Haptoglobin (g/L) |
2.60 |
0.14 – 2.58 |
|
| Vitamin B12 (pg/mL) |
388 |
187 – 883 |
|
| Plasma folic acid (ng/mL) |
4.3 |
2.34 – 17.56 |
|
| Serology (Hepatitis B, Hepatitis C, syphilis, HIV) |
Negative |
|
|
| Total IgG (g/L) |
20.37 |
5.40 – 18.22 |
|
| Total IgA (g/L) |
0.66 |
0.63 – 6.45 |
|
| Total IgM (g/L) |
0.152 |
0.22 – 2.93 |
|
| Kappa light chains (mg/dL) |
529.70 |
122 – 437 |
|
| Lambda light chains (mg/dL) |
208.09 |
62 – 231 |
|
| Kappa/Lambda ratio |
2.25 |
1.30 – 2.61 |
|
MCV: Mean Corpuscular Volume; MCH: Mean Corpuscular Hemoglobin; MCHC: Mean Corpuscular Hemoglobin Concentration; LDH: Lactate Dehydrogenase; IgG: Immunoglobulin G; IgA: Immunoglobulin A; IgM: Immunoglobulin M.
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