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Serum free light chain ratio is normal but lambda ife in 24 hour urine. renal and anemia but normal ca. is there reason for more mm workup bm biopsy?
Kappa (4 vs ref 2mg/dl) and sometimes lambda light chain in 24hr urine without mm. What can be suspected? Anemia, worsening ckd, improves with na co3
Is Amyloidosis a possibility ? 60 yo Previous blood tests creatine at 1.5, kappa 38, lambda 15, ratio 2.4 ALL other tests normal including no M protein in blood or urine. 6 months follow up creatine levels 1.2, kappa 25, lambda 15, ratio now 1.62.?
63 yo female Previous blood tests creatine at 1.5, kappa 38, lambda 15, ratio 2.4 ALL other tests normal including no M protein in blood or urine. 6 months follow up creatine levels 1.2, kappa 25, lambda 15, ratio now 1.62..scared ?
Bone pain ( hip, groin, knee, and now heel, both wrists, right shoulder) . Elevated pth, calcium in 24 hour urine, negative scan, normal calcium blood?
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