Case Report
Acute Kidney Injury Secondary to Necrotizing Sarcoid Granulomatosis
| | Test name | Result | Normal range |
| | Hemoglobin (gm/dl) | 9.8 | 12.0–15.0 | | Total count (cells/cumm) | 10800 | 4000–11000 | | Polymorphs | 78.6% | 45%–70% | | Lymphocytes | 8.3% | 25% –40% | | Eosinophils | 3.7% | 1%–6% | | Basophils | 0.2% | 0%–1% | | Platelet count (lakhs/cumm) | 4.35 | 1.5–4.5 | | Blood urea nitrogen (mg/dl) | 22 | 5–21 | | Serum creatinine (mg/dl) | 2.4 | 0.60–1.10 | | Serum sodium (mmol/l) | 134 | 136–146 | | Serum potassium (mmol/l) | 3.6 | 3.5–5.1 | | Serum chloride (mmol/l) | 98 | 101–109 | | Serum bicarbonate (mmol/l) | 26 | 21–31 | | Serum calcium (mg/dl) | 13.2 | 8.8–10.6 | | Serum phosphorus (mg/dl) | 4.0 | 2.5–4.5 | | Serum uric acid (mg/dl) | 11.1 | 2.6–6.0 | | Serum intact parathyroid hormone (IPTH) (pg/ml) | 6.8 | 12–88 | | Serum vitamin D (25OH) (ng/ml) | 9.9 | <20 | | Serum vitamin D3 (125OH) (ng/ml) | 37.6 | 19.6–54.3 | | Random plasma glucose (mg/dl) | 109 | 70–140 | | Urine colour | Straw yellow/clear | | | Urine pH | 6.0 | 4.6–8 | | Urine specific gravity | 1.005 | 1.001–1.035 | | Urine glucose | Negative | Negative | | Urine protein | Negative | Negative | | Urine bilirubin | Negative | Negative | | Urine ketone | Negative | Negative | | Urine urobilinogen (Eu/dl) | 0.2 | 0.2–1.0 | | Urine pus cells (cells/hpf) | 2–3 | <5 cells | | Urine RBC (cells/hpf) | Nil | 0–2 | | Urine epithelial cells (cells/hpf) | 2–3 | 0–4 | | Urine casts (cells/hpf) | Nil | Nil | | Urine crystals (cells/hpf) | Nil | Nil | | Urine protein creatinine ratio (mg/mmol) | 0.90 | <0.3 | | 24 h Urine calcium (mg/day) | 160 | <250 mg/day | | Urine bence jones protein | Negative | Negative | | Total bilirubin (mg/dl) | 0.67 | 0.3–1.2 | | Direct bilirubin (mg/dl) | 0.20 | <0.2 | | SGOT (U/L) | 19 | <35 | | SGPT (U/L) | 16 | <35 | | Total protein (gm/dl) | 6.8 | 6.6–8.3 | | Albumin (gm/dl) | 2.8 | 3.5–5.2 | | Globulin (gm/dl) | 4.0 | 2.0–3.5 | | Alkaline phosphatase (U/L) | 286 | 30–120 | | ANA | Negative | Negative | | C3 (mg/dl) | 164.0 | 90–180 | | C4 (mg/dl) | 55.70 | 10–40 | | PR3–ANCA by ELISA | <1:40 | <1:40–Negative | | MPO – ANCA by ELISA | <1:40 | <1:40–Negative | | FT3 (pmol/l) | 2.92 | 2.5–3.9 | | FT4 pmol/l) | 1.38 | 0.56–1.50 | | TSH (mU/L) | 1.660 | 0.34–5.60 | | Carcino embryonic antigen (CEA) (mcg/l) | 1.3 | <3.0 | | Alpha feto protein (mcg/l) | 1.15 | <0.9 | | Angiotensin converting enzyme levels (ACE) (nmol/ml) | 119 | | | HIV | Nonreactive | Nonreactive | | HBSAG | Nonreactive | Nonreactive | | HCV | Nonreactive | Nonreactive | | Peripheral smear | Normocytic Normochromic Anemia | |
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