Hematological workup resulting in diagnosis of plasma cell dyscrasia.

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.