Laboratory parameter | Reference range | Presentation | First course IVIg | Second course IVIg | Third course IVIg |
---|---|---|---|---|---|
Full Blood Count | |||||
Haemoglobin | 12.4–16.7 g/dL | 3.5 | 14.7 | 13.1 | 12.7 |
Haematocrit | 0.35–0.49 UL | 0.12 | 0.48 | 0.38 | 0.40 |
Red cell Count | 3.8–5.5 × 109/L | 1.29 | 5.56 | 4.88 | 4.43 |
Mean Cell Volume | 79–100 fL | 89.90 | 85.60 | 85.60 | 89.40 |
Mean Cell Haemoglobin | 27–35 pg | 27.10 | 26.50 | 26.80 | 28.70 |
Mean Cell Haemoglobin concentration | 29 - 37 g/dL | 30.20 | 31.30 | 31.30 | 32.10 |
White Cell Count | 4-12 × 109/l | 4.52 | 5.14 | 4.70 | 2.62 |
Platelet Count | 150-450 × 109/L | 310 | 245 | 245 | 187 |
Red cell distribution width | 11.0–16.0 | 22.80 | 14.10 | 14.10 | 13.20 |
Reticulocyte production | |||||
Reticulocyte production index | 1.00–1.25 | 2.2 | 0.9 | ||
Iron Studies | |||||
Ferritin | 20-300 ng/mL | 7 | 11 | ||
Coagulation studies | |||||
INR | 1.00–1.25 | 1.06 | 1.02 | ||
Prothrombin Time | < 14 s | 13.2 | 11.8 | 14.6 | |
Activated Partial Thromboplastin Time | 27–43 s | 52.7 | 35.4 | ||
Fibrinogen | 1.7–4.2 g/L | 3.5 | 3.8 | ||
Factor VII levels | |||||
Factor VIII | 50–150% | 6 | 48 (7a) | 78 (15a) | 88 (22a) |
Factor VII inhibitor | Bethesda | 0 | 0 | ||
Von Willebrand Factor Screen | |||||
Von Willebrand Factor Activity | 47.8–173.2% | 15 | 32 (6a) | ||
Von Willebrand Factor Antigen | 50–160% | 10 | 52 (10a) | 51 (14a) | 43 (10a) |
Platelet studies | |||||
Agonist - ristocetin 0.5μg/mL | No response | Normal | Normal | Normal | |
Agonist - ristocetin 1.5μg/mL | 60–110% | 5 | 10 | 10 | 32 (10a) |
ADP 5.0 uM | 60–100% | 17 | |||
Epinephrine 10μg/mL | 60–110% | 14 | |||
Collagen 2μg/mL | 60–110% | 3 | |||
Arachidonic Acid | Decreased | ||||
Platelet function analyser | |||||
Collagen/Epinephrine | 82–150 | > 300 | |||
Collagen /Adenosine diphosphate | 62–100 | > 300 | |||
Liver function tests | |||||
Albumin | 35–50 g/L | 28 | |||
Bilirubin (unconjugated) | 3-6umol/L | 4 | |||
Bilirubin (conjugated) | 2–7 umol/L | 3 | |||
AST | 13–35 IU/L | 8 | |||
ALT | < 35 IU/L | 3 | |||
IgM paraprotein | g/L | 3 | 4 | 4 | |
Urea and Electrolytes | |||||
Sodium | 136-145 mmol/L | 136 | |||
Potassium | 3.5–5.1 mmol/L | 4.5 | |||
Chloride | 98-107 mmol/L | 108 | |||
Total CO2 | 21-29 mmol/L | 23 | |||
Urea | 2.9–8.2 mmolL | 2.5 | |||
Creatinine | 53–97 umol/L | 36 | |||
Bone Marrow Aspirate | Clonal plasma cells present but < 5% of cells. Iron stores absent. |