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Table 1 Clinical features and laboratory findings at first admission and at relapses

From: Cytophagic histiocytic panniculitis, hemophagocytic lymphohistiocytosis and undetermined autoimmune disorder: reconciling the puzzle

 

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