Table 1 Relevant laboratory results

CBC/ESR

Hb = 96.6 g/L (121–153), MCV = 83.3 fL (82–103), ESR = 60 mm/hr (0–10)

Coagulation panel

International Normalized Ratio (INR): 2.06 (1.0-1.5). The patient was not on any oral anti-coagulants; this had normalized on a follow-up exam. Activated Partial Thromboplastin Time(APTT): 31.15 sec (20–35)

Chemistry panel

Fasting blood glucose: 3.2 mmol/L (3.6 -6.3), Na⁺: 113.9 mmol/L (137–147), K⁺: 3.4 mmol/L (3.4-5.3), aspartate aminotransferase (AST): 83.6 IU/L (11–47); creatinine: 67 mcmol/L (44–150)

Dipstick urinalysis

proteinuria 2+, specific gravity: 1.030 (1.010-1.025)

Endocrine panel

T4: 38 ng/mL (60–160), T3: 0.8 ng/mL (1.0-3.1), TSH: 0.0 uIU/ml (0.4-6.2); LH, FSH, ACTH, GH, prolactin and cortisol could not be tested due to lack of reagents

Autoimmune panel

ANA (anti-nuclear antibody) titres less than 1:40; Anti-cardiolipin and anti-B2-glycoprotein IgM / IgG were all within normal limits. Thyroid auto-antibodies and angiotensin converting enzyme (ACE) levels could not be tested.