Table 1—

Relevant investigations

TestValue
Hb101 g·L−1
ESR135 mm·1st·h−1
Urea15 mmol·L−1
Creatinine167 mmol·L−1
Total protein126 g·L−1
Albumin26 g·L−1
Ig electrophoresisPolyclonal IgG
Angiotensin converting enzymeNormal
Serum PTHNormal
P a,O2 8.80 kPa
Urine for Bence-Jones proteinsNegative
Tuberculin testNegative
Pleural fluid
 WBC467×106·L−1 (92% lymphocytes)
 RBC6000×106·L−1
 Glucose4.9 mmol·L−1
 Protein73 g·L−1
 LDH370 IU·L−1
Bone marrow aspirate and trephine biopsyNegative for infection and malignancy
Rectal biopsyNormal
Bone scanNormal
Stains and cultures of sputa, bronchial wash and pleural fluid for bacteria, TB and fungiNegative
  • Hb: haemoglobin

  • ESR: erythrocyte sedimentation rate

  • Ig: immunoglobulin

  • PTH: parathyroid hormone

  • Pa,O2: oxygen tension in arterial blood

  • WBC: white blood cell count

  • RBC: red blood cell count

  • LDH: lactate dehydrogenase

  • TB: tuberculosis