High total protein with a normal
albumin suggest high total globulin . This reflects the immunity provided by the antibodies . If we get an infection or inflammation , that goes up and settles down . However, if it’s persistently high or if one has bone pain in the long bones , gets recurrent infections, it’s best to get Serum Immunoglobulins and
Next Steps
However, if it’s persistently high after 6 weeks or if one has bone pain in the long bones , gets recurrent infections, it’s best to get Serum Immunoglobulins and Serum Free light chains and M band quantification .
If that’s positive , it’s best to get reviewed by a Haematologist.
Dr. Maqsood Punekar
MBBS, MRCP(UK), FRCP(Lon), FRCP (Edin), FRCPath( UK) , CCST
Senior Consultant Haematologist and Haemato-Oncologist
Royal Bangalore Hospital