Laboratory Investigations
| Investigation | Case 1 | Case 2 | Case 3 | Case 4 |
|---|---|---|---|---|
| Haemoglobin (g/L) | 94 g/L | 92 g/L | 80 g/L | 69 g/L |
| White cell counts Lymphocyte count | 6.7×109/L 1.15×109/L | 7.2×109/L 1.91×109/L | 6.5×109/L 1.65×109/L | 6.4×109/L 1.25×109/L |
| Platelets | 130×109/L | 150×109/L | 220×109/L | 90×109/L |
| Urine routine Urine protein (mg/m2/hour) | No RBC, No albumin | No RBC, No albumin | No RBC, No albumin | Plenty RBCs, 3+albumin 82 mg/m2/hour |
| C3 (Normal 50–150 mg/dL) C4 (Normal 20–50 mg/dL) | 27 mg/dl 4 mg/dl | 28 mg/dL 3 mg/dL | 31 mg/dl 10 mg/dl | 21 mg/dl 3 mg/dl |
| ANA | 4+diffuse | 3+diffuse | 3+diffuse | 4+diffuse |
| Anti dsDNA (N:<25 IU/mL) | 59 | 583 | 112 | 346 |
| Antiphospholipid antibodies: a) Lupus anticoagulant b) Anticardiolipin antibody (IgG and IgM) c) Anti ß2 Glycoprotein −1 antibody (IgG and IgM) | Positive Negative Negative | Negative Negative Negative | Negative Negative Negative | Negative Negative Negative |
| 2Dimensional Echocardiography | Mild pericardial effusion, dilated left ventricle, ejection fraction (EF) 30% | Mild pericardial effusion, EF 25% | Mild pericardial effusion, moderate mitral regurgitation, mild tricuspid regurgitation, global hypokinesia, EF 56% | Moderate mitral regurgitation, mild tricuspid regurgitation, global hypokinesia, EF 18% |