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Multiple myeloma
On a routine test in June, my 59 y/o mother had slightly high serum globulins (4.7) and slightly high calcium (10.3)
So we did the following tests :-
1- Serum protein electrophoresis - Came back normal with no M spike
2- Serum FLC -
Kappa - 33.1 (Ref- 3.3 to 19.4) - Slightly high Lambda - 18.1 - Normal
Kappa/Lambda ratio - 1.83 (Ref- 0.26 to 1.65)
Her calcium is back to normal now (without medications). At present, her calcium is 8.9, Hb is 12.5, serum globulin is 3, creatinine is 0.75, urea is 25 and x rays of pain areas (cervical and thoracic spine and left shoulder) have shown arthiritis. So she doesn't have anemia, hypercalcemia, kidney damage or bone lesions, as of now. However, her kappa chains are elevated and kappa/lambda ratio is slightly high. What is it pointing towards ? Could it be multiple myeloma ?
Answers (7)
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Repeating d same.
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Not easy to say here. Consult with a specialist
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Kindly discuss for your concern.
Need to evaluate further
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What about her light chains? What about bone marrow biopsy?
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Repeated
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Dr. Jaideep Gaver
General Physician
15 yrs exp
Coimbatore
Hello sir,
Needs proper details please consult directly on eight nine two zero three seven one eight zero eight
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Dr. Priyanka Reddy
General Physician
5 yrs exp
Nellore
Consult for physical examination
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.