Skin rash Laboratory Data TEST HEMATOLOGY REFERENCE RANGE

Skin rash

Laboratory Data: TEST HEMATOLOGY REFERENCE RANGE 10/7/06 5/15/08 Hemoglobin (g/dl) 13. 5 – 17. 5 13. 8 10. 7 Hematocrit (%) 41. 0 – 53. 0 42. 0 33. 1 White-cell count (per mm 3) 4, 500 – 11, 000 9, 200 6, 400 Differential Count (%) Neutrophils 40 – 70 60 76. 4 Lymphocytes 22 – 44 24. 4 14. 2 Monocytes 4 – 11 7. 9 5. 7 Eosinophils 0 – 8 7. 2 8. 1 Mean Corpuscular Volume (µm 3) 80 – 100 80. 9 87. 6 Platelet Count (per 150, 000 – 300, 000 mm 3) 303, 000 Activated Partialthromboplastin time (sec) 25. 7 22. 1 – 35. 1 Prothrombin Time 11. 3 - 14 11. 6 14. 3 INR 0. 9 - 1. 2 0. 97 176, 000 27

REFERENCE RANGE 10/7/06 5/15/08 Sodium (mmol/liter) 135 – 145 142 Potassium (mmol/liter) 3. 4 – 4. 8 3. 9 Chloride (mmol/liter) 100 – 108 104 105 Carbon dioxide (mmol/liter) 23. 0 – 31. 9 29 29 Urea nitrogen (mg/dl) 8 – 25 22 17 Creatinine (mg/dl) 0. 6 – 1. 5 0. 9 0. 5 Glucose (mg/d. L) 70 - 99 85 71 Calcium (mg/dl) 8. 5 – 10. 5 9. 6 8. 8 Magnesium (m. Eq/L) 1. 3 – 1. 9 N/A 1. 6 Phosphorus (mg/dl) 2. 7 - 4. 5 N/A 3. 0 AST (U/L) 11 - 39 N/A 27 * ALT (U/L) 11 - 35 N/A 37 * Alk Phos (U/L) 25 – 100 N/A 149 * T Bili (mg/d. L) 0. 2 – 1. 3 N/A 0. 3 * D Bili (mg/d. L) 0. 0 - 0. 2 N/A 0. 1 * T Protein (mg/d. L) 6. 3 – 8. 2 N/A 8. 2 * Albumin (g/d. L) 3. 7 – 5. 1 N/A 5. 1 * CPK (U/L) 45 - 245 N/A 64* TEST CHEMISTRY * These values are from January of 2008.

TSH u. U/m. L 1. 55 (0. 35 -4. 8) Vitamin B 12, serum pg/m. L 789 (200 -700) Folate ng/m. L 9. 83 (4. 1 -22) RPR non-reactive Hepatitis B SAb reactive Hepatitis B SAg non-reactive Hepatitis C Ab negative Stool Occult Blood positive ANA negative Rheumatoid Factor negative C 3, mg/d. L 117 (75 -140) C 4, mg/d. L 23 (10 -34) C-ANCA negative p-ANCA negative Serum Protein Electrophoresis diffuse hypergammaglobulinemia, no abnormal bands Urine Protein Electrophoresis trace albumin without abnormal bands

Radiologic Data: Chest x-ray during admission

Chest CT scan during admission:

Abdominal CT scan during admission:

A diagnostic test was performed.