Concomitant Nephrotic Syndrome and Cryoglobulinemia in a Case of Malignant Mesothelioma

Table 1

Laboratory findings.

Urinalysis		Blood chemistry tests (cont.)
Gravity	1.009	Sodium	136 mmol/L
Protein	3+	Chloride	104 mmol/L
Sugar	Negative	Potassium	3.0 mmol/L
Blood	1+	Corrected calcium	10.0 mg/dL
Sediment		Phosphate	3.0 mg/dL
Red blood cells	5–9/HPF	Total bilirubin	0.3 mg/dL
White blood cells	10–19/HPF	Aspartate aminotransferase	22 U/L
Urinary biochemical tests	Alanine aminotransferase	26 U/L
Daily urinary protein	4.3 g/24 hr	Lactate dehydrogenase	292 U/L
Selectivity index	0.09	Alkaline phosphatase	167 U/L
Bence-Jones protein	Negative	Creatine kinase	73 U/L
Complete blood count	Total cholesterol	197 mg/dL
White blood cells	10600/mL	LDL cholesterol	129 mg/dL
Neutrophils	58%	Triglyceride	191 mg/dL
Eosinophils	12%	Glucose	103 mg/dL
Basophils	3%	Hemoglobin A1c	5.1%
Lymphocytes	15%	Serology
Monocytes	11%	C-reactive protein	3.38 mg/dL
Hemoglobin	11.0 g/dL	HBs antigen	Negative
Platelets	57.3 × 104/mL	Anti-HCV antibody	Negative
Coagulation tests	Immunoglobulin G	2288 mg/dL
PT-INR	1.13	Immunoglobulin A	455 mg/dL
APTT	28.5 sec	Immunoglobulin M	94 mg/dL
APTT, ctrl	33.5 sec	Complement 3	170 mg/dL
Fibrinogen	760 mg/dL	Complement 4	17 mg/dL
von Willebrand factor	341% (60–170%)	CH50	57.0 U/mL
Blood chemistry tests	Rheumatoid factor	33 IU/mL
Total protein	7.2 g/dL	Antinuclear antibody	x40 >
Albumin	2.4 g/dL	Anti-dsDNA-Ab	< 10 U/mL
Uric acid	10.1 mg/dL	PR3-ANCA	< 1.0 U/mL
Urea nitrogen	14.2 mg/dL	MPO-ANCA	< 1.0 U/mL
Creatinine	1.59 mg/dL	Cryoglobulin	(+)

HPF: high-power field; PT-INR: prothrombin time-international normalized ratio; APTT: activated partial thromboplastin time; CH50:50% hemolytic unit of complement; LDL: low-density lipoprotein; HBs: hepatitis B surface; HCV: hepatitis C virus; dsDNA-Ab: double-strand deoxyribonucleic acid antibody; PR3-ANCA: proteinase-3-antineutrophil cytoplasmic antibodies; MPO-ANCA: myeloperoxidase-antineutrophil cytoplasmic antibodies.