1st admission | 1st relapse | 2nd relapse | |
---|---|---|---|
Clinical features | Spiking fever | Spiking fever | Fever |
Respiratory distress | Swelling of the right tight | Cough | |
Absent breath sound on right hemithorax | Liver and spleen enlargement | ||
Laboratory findings | |||
Red blood cells (x106) | 4.250 | 4.140 | 4.790 |
White blood cells (x103) | 1.63 | 2.54 | 2.88 |
Platelets (x103) | 90 | 145 | 203 |
AST/ALT (U/L) | 122/101 | 144/104 | 55/65 |
Triglycerides (mg/dL) | 508 | 180 | 240 |
Ferritin (ng/ml) | 7.547 | 670 | 249 |
Albumin (g/dL) | 3,3 | 3,9 | 3,5 |
Antinuclear antibodies | 1:128 | 1:1024 | 1:516 |
Homogeneous pattern | Granular pattern | Granular pattern | |
Bone marrow | Phagocyting histiocytes | Phagocyting histiocytes |