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Table 1 Laboratory investigations of patients at baseline and during an URTI or flu-like illness, along with corresponding symptom survey results

From: The role of C1 inhibitor and complement as acute phase reactants: are we missing the diagnosis of hereditary angioedema?

 

Patient #1

Patient #2

Patient #3

Patient #4

Demographics

 Age at baseline (years)

35

69

43

67

 Sex

Male

Female

Female

Female

Baseline

 Ferritin (15–247 μg/L)

103

79

7

10

 CRP (<  4.8 mg/L)

0.4

2.4

<  0.3

2.1

 C4 (0.09–0.50 g/L)

0.03

0.07

0.02

0.07

 C1- INH function (0.70–1.30 U)

0.16

0.25

0.12

0.30

Illness #1

 Ferritin (15–247 μg/L)

121

93

9

49 ↑

 CRP (<  4.8 mg/L)

4.2

3.6

0.3

5.6 ↑

 C4 (0.09–0.50 g/L)

0.05

0.08

0.04

0.12 ↑

 C1-INH function (0.70–1.30 U)

0.22

0.28

0.14

0.37

 Symptoms experienced

Fever, chills, sore throat

Sore throat, rhinorrhea, nasal congestion

Fever, muscle aches, congestion, fatigue

Cough, sore throat, rhinorrhea, congestion

 Duration of illness (days)

2

2

7

18

 Severity of illness (1–5)

3

1

2

2

 HAE attack within preceding 48 h (Y/N)

N

N

N

N

Illness #2

 Ferritin (15–247 μg/L)

 

123

 

40 ↑

 CRP (<  4.8 mg/L)

 

13.9 ↑

 

2.5

 C4 (0.09–0.50 g/L)

 

0.10 ↑

 

0.13 ↑

 C1-INH function (0.70–1.30 U)

 

0.24

 

0.34

 Symptoms experienced

 

Cough, rhinorrhea

 

Cough, sore throat, rhinorrhea, congestion

 Duration of illness (days)

 

Not recorded

 

16

 Severity of illness (1–5)

 

1

 

2

 HAE attack within preceding 48 h (Y/N)

 

N

 

N

  1. Bolded numbers are abnormal lab values
  2. ↑ Significant elevation in laboratory value from baseline (either from below the lower limit of normal to normal value, or from normal value to above the upper limit of normal)
  3. CRP C-reactive protein; C4 complement 4; C1-INH C1 inhibitor