Table 1: Hematological workup resulting in diagnosis of plasma cell dyscrasia.
Test | Value | Normal |
IgG | 1150 mg/dL | 700-1600 |
IgA | 166 mg/dL | 70-1600 |
IgM | 130 mg/dL | 46-304 |
Kappa FLC | 11.5 mg/L | 3.3-19.4 |
Lamda FLC | 155.0 mg/L | 5.7-26.3 |
FLC ratio | 0.07 | 0.26-1.65 |
dFLC | 143.5 mg/L | |
Total protein | 7.1 g/dL | 6.0-8.2 |
Serum albumin | 4.27 g/dL | 3.35-5.40 |
Serum creatinine | 0.9 mg/dL | 0.5-1.1 |
SIFE | Monoclonal IgG lambda gammopathy | |
UIFE | Monoclonal IgG lambda gammopathy | |
Urine protein excretion | 207 mg/24 hr | 0-150 |
HCM cardiac sarcomere mutations | MYH7 variant | |
Bone Marrow Biopsy | 5% CD138 positive plasma cells with lambda light chain staining with |
FLC: Free Light Chains; HCM: Hypertrophic Cardiomyopathy; SIFE: Serum Immunofluorescence Electrophoresis; UIFE: Urine Immunofluorescence Electrophoresis; dFLC: Difference in involved and uninvolved free light chain levels; IHC: Immunohistochemistry.