March 2020 |
Ascites |
Paracentesis with fluid analysis: transudateUpper and lower GI endoscopy: no abnormal findingsWhole-body CT: mild pericardial effusion, small mediastinal nodules, non-specific small pulmonary nodulesECG: low voltage, otherwise normalTTE: LVEF 60%, grade I diastolic dysfunction, mild pericardial effusion, no significant valve disease |
October 2020 |
Right pleural effusion Ascites |
ESR: 83 mm/h; hs-CRP: 52 ng/mlIgG: 2402 mg/dl (UNL <1600 mg/dl); serum immunofixation (negative) |
April 2021 |
Bilateral pleural effusion AscitesArthralgia |
ESR: 88 mm/h: hs-CRP: 45 ng/mlIgG: 2650 mg/dl (UNL <1600 mg/dl); serum immunofixation (negative)Rheumatoid factor, ANA, dsDNA, CCP, cANCA, pANCA antibodies (negative)Bone marrow biopsy: 15% lymphocites, 3% plasmocytes, otherwise normal |
May 2021 |
Bilateral pleural effusion |
QuantiFERON test: negativePleural tap: exudate, ADA <39 U/L, glucose 111 mg/dl, LDH 81 U/LPleural biopsy: no particular aspect |
March 2022 |
Lower limb edema |
24 h proteinuria: 355 mgACR 90 mg/g |
November 2022 |
NYHA class III |
Referral to our clinic |