30 May 2021>: Articles
Systemic IgG4-Related Disease Masquerading as Cholangiocarcinoma: A Case Report Underscoring the Importance of Medical History
Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Benjamin P.M. Gummlich A , Philipp Ströbel B , Ali Seif Amir Hosseini B , Albrecht Neesse D , Volker Ellenrieder D , Harald Schwörer A*DOI: 10.12659/AJCR.930729
Am J Case Rep 2021; 22:e930729
Table 1. Serum parameters found to be abnormal on patient’s admission.
Parameter | Unit | Reference range | Results |
---|---|---|---|
Total bilirubin | µmol/L | ||
Conjugated bilirubin | µmol/L | ||
AP | U/L | 40–150 | |
γGT | U/L | 12–64 | |
AST | U/L | ||
ALT | U/L | ||
IgG4 | g/L | 0.0300–2.0100 | |
HDL | mg/dL | >40 | |
Triglycerides | mg/dL | ||
CRP | mg/L | ||
Protein | g/dL | 6.6–8.3 | 7 |
Albumin | % | 55.8–66.1 | |
α-globulin | % | 2.9–4.9 | |
α-globulin | % | 7.1–11.8 | |
β-globulin | % | 4.7–7.2 | 5.9 |
β-globulin | % | 3.2–6.5 | |
γ-globulin | % | 11.1–18.8 | |
IgG | g/L | 5.4–18.2 | 8,9 |
IgM | g/L | 0.22–2.93 | 2.6 |
IgA | g/L | 0.63–4.84 | 2.0 |
ALT – alanine aminotransferase; AP – alkaline phosphatase; AST – aspartate transaminase; CRP – C-reactive protein; γGT – gamma-glutamyl transpeptidase; HDL – high-density lipoprotein. |