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Table 2 Laboratory and clinical parameters of the patients during IVIG therapy

From: Intravenous immunoglobulin treatment of four patients with juvenile polyarticular arthritis associated with persistent parvovirus B19 infection and antiphospholipid antibodies

          

B19 DNA

IgG anti-PL

  

Patient

Sample

ESR (mm/h)

WBC/ml

RBC/ml

Hb (g/dl)

CRP (mg/dl)

CK (U/l)

Arthritis (joints)

Total IgG (mg/dl)

Serum

SF

Anti-CL

Anti-PS

Anti-β2GPI

VAS (doctor)

VAS (parents)

1

1

5

7.96

4.21

12.0

neg.

15

2

414

pos.

na

-

-

++

5

3

 

2

nd

nd

nd

nd

nd

nd

nd

1832

neg.

na

-

-

+

nd

nd

 

3

5

6.88

4.25

12.3

neg.

21

0

1430

pos.

na

-

-

-

1

1

 

4

nd

nd

nd

nd

nd

nd

nd

2480

neg.

na

-

-

-

nd

nd

 

5

9

9.58

4.36

12.3

neg.

16

0

1406

neg.

na

-

-

(+)

1

1

 

6

9

7.0

4.4

12.2

neg.

17

0

nd

neg.

na

-

-

-

1

1

2

1

35

8.57

4.82

11.5

0.7

103

4

1450

neg.

na

-

-

+

4

4

 

2

nd

nd

nd

nd

nd

nd

nd

3040

neg.

na

-

-

+

n.d

nd

 

3

37

7.47

4.43

11.3

2.6

33

1

468

neg.

na

-

-

-

5

6

 

3

nd

nd

nd

nd

nd

nd

nd

3680

neg.

na

+

++

++

nd

nd

 

5

40

6.18

4.47

11.6

1.5

30

2

2020

pos.

na

-

-

-

4

6

 

6

42

7.91

4.63

11.7

6.4

27

2

nd

neg.

na

-

-

-

5

7

3

1

15

6.33

4.84

13.5

0.5

20

0

864

pos.

na

-

-

-

5

5

 

2

nd

nd

nd

nd

nd

nd

nd

3600

pos.

na

-

-

-

nd

nd

 

3

12

6.96

4.61

13.1

0.7

25

0

1604

pos.

na

-

-

-

5

3

 

4

nd

nd

nd

nd

nd

nd

nd

2420

pos.

pos.

-

++

+

nd

nd

 

5

34

9.87

4.83

13.5

0.9

25

1

1734

neg.

na

-

-

-

5

3

 

6

36

7.50

4.90

14.2

neg.

20

0

nd

neg.

na

-

-

-

3

2

4

1

30

8.99

4.32

12.5

1.5

22

5

1014

pos.

na

-

-

++

4

4

 

2

nd

nd

nd

nd

nd

nd

nd

2540

neg.

na

-

++

++

nd

nd

 

3

40

7.27

4.05

12.1

neg.

32

1

1724

pos.

na

-

++

++

2

2

 

4

nd

nd

nd

nd

nd

nd

nd

3420

neg.

na

-

++

++

nd

nd

 

5

21

6.45

4.07

12.6

neg.

33

1

1788

neg.

na

-

-

-

1

1

 

6

10

6.50

4.35

13.3

neg.

20

0

nd

neg.

na

-

-

+

1

1

  1. The patients were examined before and after the first treatment cycle (day 1, samples 1; day 5, samples 2), before and after the second treatment cycle (day 1, samples 3; day 5, samples 4), and 1 month (samples 5) and 9 months (samples 6) after the end of the second cycle. In addition to laboratory parameters including the amplification of parvoviral DNA derived from serum or synovial fluid, antiphospholipid antibodies (IgG anti-PL: anti-CL, anti-cardiolipin; anti-PS, anti-phosphatidylserine; anti-β2GPI, anti-β2-glycoprotein I; -, no reaction; +, positive, ++, strongly positive), doctors' and parents' global assessments of overall disease activity were recorded on a visual analogue scale (VAS) ranging from 0 (healthy) to 10 (severely affected). CK, creatine kinase; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; Hb, haemoglobin; IVIG, high-dose intravenous immunoglobulin; na, not available; nd, not determined; RBC, red blood cells; SF, synovial fluid; WBC, white blood cells.