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 have shown arthiristis. 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 ?