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12 July 2023: Articles

Parvovirus B19 Infection: A Vasculitis Masquerade in an Elderly Patient

Unusual clinical course, Mistake in diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)

Morika Suzuki A , Takashi Watari A*

DOI: 10.12659/AJCR.939696

Am J Case Rep 2023; 24:e939696

Table 2. Laboratory test results.

WBC10 100/μLSTS(-)
RBC438×10/μLTPHA(-)
Hb12.9g/dLHBsAg, HBsAb(-)
Plt36.9×10/μLHCV(-)
ESR55mm/hHIV(-)
TP6.7g/dLCMV-IgM(-)
Alb3g/dLEBV-IgM(-)
AST54IU/LT-SPOT(-)
ALT34IU/LMycoplasma-IgM(-)
LDH310IU/LSARS-CoV-2 PCR(-)
BUN25mg/dLB19V-IgM4.76Index
Cr1.19mg/dL
Na138mEq/LANA640fold
K4.3mEq/LMPO-ANCAU/mL0–3.4
Cl101mEq/LPR3-ANCA0.8
C3116mg/dL73–138Anti-SS-A/RoU/mL
C416mg/dL11–31Anti-ds-DNA1.9IU/mL0–12
IgG1607mg/dL861–1747Anti-Sm Ab0.6U/mL
IgA201mg/dL93–393Anti-RNP Ab0.6U/mL
IgM168mg/dL33–183Lupus anticoagulant0.8
CRP11.3mg/dLaCL13U/mL0–10
sIL-2R1543U/mL333–587Cryoglobulin(-)
aCL – anticardiolipin; Alb – albumin; ALT – alanine aminotransferase; ALP – alkaline phosphatase; ANA – antinuclear antibody; ANCA – antineutrophil cytoplasmic antibody; AST – aspartate aminotransferase; B19V – human parvovirus B19; BUN – blood urea nitrogen; Cl – chlorine; Cr – creatinine; CMV – cytomegalovirus; CRP – C-reactive protein; ds – double-stranded; EBV – Epstein-Barr virus; ESR – erythrocyte sedimentation rate; Glu – glutamic acid; Hb – hemoglobin; HbsAg – surface antigen of the hepatitis B virus; HbsAb – hepatitis B surface antibody; HCV – hepatitis C virus; HIV – human immunodeficiency virus; Ig – immunoglobin; K – potassium; LDH – lactate dehydrogenase; LDL-Chol – low-density lipoprotein cholesterol; MPO – myeloperoxidase; Na – sodium; PCR – polymerase chain reaction; Plt – platelet count; PTH – parathyroid hormone; PR3 – serum anti-proteinase 3; RBC – red blood cells; RNP – ribonucleoprotein; SARS-CoV-2 – severe acute respiratory syndrome coronavirus 2; STS – syphilis; TP – total protein; TPHA – treponema pallidum hemagglutination assay; WBC – white blood cells.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923