Patient 1 | Patient 2 | Patient 3 | Normal | |
---|---|---|---|---|
Gender | Male | Male | Female | |
Age of onset (year) | 3 | 1 | 4 | |
Clinical presentation& Physical examination | ||||
Family history | – | – | – | |
Fever | + | + | – | |
Malar rash | + | – | + | |
Lymphadenopathy | + | + | – | |
Hepatomegaly | + | + | + | |
Splenomegaly | – | + | + | |
Arthritis | + | + | + | |
Pericardial effusion | + | – | – | |
Proteinuria | – | – | + | |
Peripheral blood examination | ||||
WBC(×109/L) | 5.16–11.73 | 4.01–8.38 | 3.45–10.44 | 3.5–9.5 |
Neutrophil (%) | 37.5–64.3 | 53.6–76.3 | 40.6–82.1 | 50.0–75.0 |
Lymphocyte (%) | 24–45.7 | 17.8–38.6 | 10.7–29.9 | 20.0–40.0 |
CD3+ cells (%, cells/ml) | 79.9, 2335 | 86.6, 1438 | NA | 60.05–74.08, 1424–2664 |
CD3 + CD4+ cells | 35, 1023 | 40.9, 679 | NA | 26.17–40.76, 686–1358 |
CD3 + CD8+ cells | 40.8, 1193 | 36.4, 604 | NA | 19.68–34.06, 518–1125 |
CD20+ B cells | 13.8, 403 | 6.1, 101 | NA | 10.21–20.12, 280–623 |
Double negative T cells (%) (TCRαβ+CD3 + CD4-CD8-) | 4.9 | 7.2 | NA | 0.18–2.81 |
Monocyte (%) | 8.8–18.3 | 2.4–10.9 | 6.9–28.6 | 3.0–8.0 |
Monocyte | 0.69–1.79 | 0.2–0.83 | 0.45–2.4 | 0.12–0.80 |
Hemoglobin (g/dL) | 5.7–10.4 | 12.1–15.8 | 10.5–15.7 | 12.0–16.0 |
RET% | 4.07 | 1 | 1.46 | 0.8–2.0 |
Platelet (×109/L) | 24–366 | 28–171 | 14–189 | 100–350 |
CRP (mg/dL) | < 0.1 | 0.3 | < 0.1 | 0–0.8 |
ESR (mm/h) | 51 | 19 | 31 | 0–15 for boys 0–20 for girls |
Double negative T cells (%) (TCRαβ+CD3 + CD4-CD8-) | 4.9 | 7.2 | NA | |
IgG (mg/dL) | 2331 | 1629 | 2158 | 500–1200 |
IgM (mg/dL) | 625 | 201 | 56 | 40–230 |
IgA (mg/dL) | 312 | 133 | 743 | 70–400 |
C3 (g/L) | < 0.406 | 0.251 | ↓ | 0.73–1.46 |
C4 (g/L) | < 0.046 | 0.010 | ↓ | 0.1–0.4 |
ANA | H1:1280 | H1:640 | S1:1280 | < 1:40 |
Anti-dsDNA-ELISA (U/mL) | 664 | 770 | 140 | < 100 |
Anti-dsDNA-IF | + 1:320 | + 1:40 | – | < 1:5 |
Anti-Sm | – | – | +(1:4) | – |
ACL (U/mL) | 17 | – | – | < 12 |
β2GP1-IgA (U/mL) | 54 | – | – | < 20 |
Coombs | + | + | + | – |
EB IgG/VCA | + 5.62 | + 7.93 | NA | < 0.80 |
EB IgM/VCA | + 1.31 | – | NA | < 0.80 |
EBV-DNA | + | – | NA | < 500 |
CMV-IgM | + 3.18 | + 1.86 | + 1.31 | < 0.9 |
CMV-IgG | NA | + 3.64 | + 4.79 | < 0.9 |
CMV-PP65 | + | + | – | – |