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Gave plasma, leading to tests (cbc, SPEP, immunofixation, FLC). Waiting for hemo consult. Have high IGA (7.09g/l) but low IGG (3.05) &low IGM(.15). Monoclonal IGA type lambda found (8.5mg/l), lambda=33.4mg/l, but LC ratio ok. Am I immune compromised?
Kappa/lambda FLC ratio high (2.75) w/ normal K(10.21mg/dl) & low L(3.68mg/dl). Hem-onc unsure if ratio implies K monoclonality since serum/urine IFE ok & neither chain is elevated. Could monoclonal K be suppressing L? IgA a bit high IgG &IgM a bitlow
High IGA (7.09 g/l), and low IGG (3.05) and low IGM (.15). Beta1 globulin is high, beta2 and gamma are low. Protein Monoclonal band is detected type IGA at 8.5 g/l. FLC = high lambda at 33.4mg/l (normal kappa &ratio). Worried until I see hematologist?
Is elevated kappa/lambda ratio on serum FLC test inherently monoclonal, even if neither kappa or lambda is elevated? Ratio high b/c lambda is low, not because of high kappa. SPEP/UPEP & IFE normal. High IgA, low IgG. Clean marrow biopsy. Polyclonal?
Hema repeated bloodwork after monoclonal IGA lambda found. In one month, m-protein went from 8.5 g/l to 11.4. Is this jump significant? Other values remain out of range with IGA high & IGG, IGM low. Low gamma as well. CBC values ok and no BenceJones?
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