After adjusting for confounding variables, such as age, sex, ACA status, LC status, CREST status, TB concentration, ALB concentration and PLT count, the HR for LRD/LT in patients with a serum ALB concentration ≤ 3.6 g/dL was 4.16 (95% CI 2.10–8.22), and the HR for LRD/LT in patients with LC was 12.9 (95% CI 5.21–32.1). Here, ALB is linked to tuberculosis.