07 February 2024: Articles
Accelerating Healing and Relieving Pain: High-Intensity Laser Therapy for Paraneoplastic Cutaneous Vasculitis Associated with Multiple Myeloma
Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)
Karina Felipe Fernandes Maciel A* , Antonio Henrique Cordeiro B , Rivadavio Fernandes Batista de Amorim A , Ludmila Bertti Coelho F , Mariana de Freitas Cordeiro A , Thiago David Alves Pinto CDOI: 10.12659/AJCR.942322
Am J Case Rep 2024; 25:e942322
Table 1. Laboratory exams of the patient.
| Exams | Patient results | Reference range |
|---|---|---|
| Erythrocyte sedimentation rate | 120 mm/1h | ≤28 mm/1 h |
| C-reactive protein | 16.46 mg/L | |
| Beta-2 microglobulin | 3.98 mcg/ml | 1.09–2.53 mcg/mL |
| Protein electrophoresis | Gamma Globulin monoclonal peak 2.402 g/dl | 0.63–1.51 g/dL |
| IgG serum levels | 3.220 mg/dl | 650–1600 mg/dL |
| Immunofixation of urinary proteins | Presence IgG/kappa monoclonal component | |
| Immunofixation electrophoresis | Presence IgG/kappa monoclonal component | |
| Free light chain analysis | kappa chain level 26.10 mg/l | |
| Lambda chain level 11 mg/l | ||
| kappa/lambda ratio 2.373 | 0.31-1.56 | |
| Rheumatoid factor | Non-reactive | Non-reactive |
| Anticardiolipin antibody IgG | 1.3 | |
| Anticardiolipin antibody IgM | ||
| Anti-beta 2 glycoprotein antibody | Non-reactive | Non-reactive |
| Lupus anticoagulant | Non-reactive | Non-reactive |
| Cytoplasmic antineutrophil cytoplasmic antibody | Non-reactive | Non-reactive |
| Perinuclear antineutrophil cytoplasmic antibody | Non-reactive | Non-reactive |
| Hepatitis B surface antigen | ||
| Hepatitis C virus antibody | 0.03 | |
| HIV antibody | Non-reactive | Non-reactive |
| Cryofibrinogen | Non-reactive | Non-reactive |
| Cryoglobulins | Non-reactive | Non-reactive |