Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 4, Number 11, November 2013, pages 738-741

B-Cell Lymphoma With Rapidly Decreasing High-Density Lipoprotein Cholesterol: A Case Report

Figures

Figure 1.
Figure 1. The core biopsy specimen of the bone marrow showing small aggregates and interstitially located atypical lymphoid cell infiltration (H&E × 4).
Figure 2.
Figure 2. Immunhistochemical stained CD20 positive cells.

Tables

Table 1. Pre- and Post-Admission Results of Whole Blood Count, Lipid Profile and Potassium
 
DatePre- admission laboratory testsPost-admission laboratory tests
LDL-C: low density lipoprotein cholesterol; HDL-C: high density lipoprotein cholesterol.
Hb (g/dL)13.18.6
WBC (103/mm3)6.27.2
PLT (103/mm3)24659
Total cholesterol (mg/dL)15480
LDL-C (mg/dL)10958
HDL-C (mg/dL)4510
Triglycerides (mg/dL)265334
Potassium (mEq/L)2.92.8

 

Table 2. Biochemical, Hormonal, Serological, Haematological, Urine and Arterial Blood Gas Analysis Results
 
Glucose: 99 mg/dLThyroid stimulating hormone: 1.82 µIU/mL (normal range 0.27 - 4.2)
Urea: 30 mg/dLFree T3: 2.22 pg/mL (normal range 2.5 - 3.9)
Creatinine: 0.79 mg/dLFree T4: 0.96 ng/dL (normal range 0.61 - 1.12)
Sodium: 140 mEq/LKortizol: 17.5 µg/dL
Chloride: 108 mEq/LProtrombin time: 13.6 s
Calcium: 7.58 mg/dLINR: 1.19
Magnesium: 1.77 mg/dLActivated partial thromboplastine time: 26.4 s
Creatine kinase: 17 U/LDirect Cooms: (-) negative
Aspartate aminotransferase : 26 U/LIndirect Cooms: (-) negative
Alanine aminotransferase: 17 U/LReticulocyte: 2.26
LDH: 537 U/LAnti HCV: (-) negative
Total protein: 6.13 g/dLHBs Ag: (-) negative
Albumin: 2.97 g/dLAnti HIV: (-) negative
Fe: 12 µg/dLArterial blood gas analysis:
TIBC: 225 µg/LpH 7.47
Ferritin: 694.8 ng/mLHCO3: 29.3
Folat: 6.16 ng/mLUrine protein: 0.26 g/ 24 hr
Vitamin B12: 390 pg/mLUrine potassium: 18.47 mEq/24 hr

 

Table 3. Etiology of Low HDL
 
Familial hypoalphalipoproteinemia
Tangier disease
Familial combined hypolipidemia
Elevated CETP activity
Lipoprotein lipase deficiency
Elevated hepatic triglyceride lipase activity
LCAT deficiency
Insulin resistance
Drugs
Others