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What Do These Lab Test Results Indicate?
Question: I have been trying to understand my results but I am so confused..
UPEP Testing
Free Kappa LT chains (0.85)Low 1.35-24.19 Free Lambda LT chains (0.05) Low 0.24-6.66 Kappa/lambda Ratio (17.00) High 2.04-10.37 Prot, 24hr (203.00)High
M-spike (not observed)
SPEP Testing
Creatinine, Serum (0.55)Low 0.57-1.00 Bun/Creatinine Ratio (33)High 8-20 Immunoglobulin A, Qn, Serum (90) Low Immunoglobulin M, Qn, Serum (254) High
M-spike (not observed)
Went to see Hematologist today and she told me that there is nothing wrong and I feel I need a second opinion.
UPEP Testing
Free Kappa LT chains (0.85)Low 1.35-24.19 Free Lambda LT chains (0.05) Low 0.24-6.66 Kappa/lambda Ratio (17.00) High 2.04-10.37 Prot, 24hr (203.00)High
M-spike (not observed)
SPEP Testing
Creatinine, Serum (0.55)Low 0.57-1.00 Bun/Creatinine Ratio (33)High 8-20 Immunoglobulin A, Qn, Serum (90) Low Immunoglobulin M, Qn, Serum (254) High
M-spike (not observed)
Went to see Hematologist today and she told me that there is nothing wrong and I feel I need a second opinion.
Brief Answer:
Your findings may indicate raised M immunoglobulin.
Detailed Answer:
Hello
Your findings may indicate raised M immunoglobulin.It may be related to monoclonal gammopathy of undetermined significance(MGUS).
You may need regular follow up as MGUS may turn into multiple myeloma.
You may also need serum calcium level estimation.It is good that there is no M spike.
Mildly decreased creatinine level is not concerning.Elevated 24 hour protein need further evaluation.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Get well soon.
Take Care
Dr.Indu XXXXXXX
Your findings may indicate raised M immunoglobulin.
Detailed Answer:
Hello
Your findings may indicate raised M immunoglobulin.It may be related to monoclonal gammopathy of undetermined significance(MGUS).
You may need regular follow up as MGUS may turn into multiple myeloma.
You may also need serum calcium level estimation.It is good that there is no M spike.
Mildly decreased creatinine level is not concerning.Elevated 24 hour protein need further evaluation.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Get well soon.
Take Care
Dr.Indu XXXXXXX
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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