[Laboratory diagnosis of monoclonal gammopathies. Prospective study of 14 cases in Dakar, Senegal]

Bull Soc Pathol Exot. 1998;91(3):242-6.
[Article in French]

Abstract

Monoclonal gammapathies are detected because of clinical symptoms and biological tests confirm their presence. Wishing to investigate these diseases, we carried out a series of biochemical tests on 14 patients from October 1995 to July 1996: protein, cryoglobulin, electrophoresis of proteins, proteinuria of BENCE JONES, C-reactive protein, weight measuring of immunoglobulins (Ig), immunofixation of Ig, creatinine and calcium. The results we obtained confirmed the presence of 14 cases of myeloma with: -9 IgG myelomas with 6 kappa light chains and 3 lambda light chains -4 IgA myelomas with 2 kappa light chains and 2 lambda light chains -1 IgG kappa, Ig lambda biclonal gammapathy united to a cryoglobulin of class I. We observed a predominance of the IgG over the others Ig and the kappa over the alpha light chains. The proteinuria of BENCE JONES was present among 3 patients, hypercalcemia among 4 patients and hypercreatininemia in 1 patient with chronic renal failure.

Publication types

  • English Abstract

MeSH terms

  • Bence Jones Protein / urine
  • Blood Proteins / analysis
  • Calcium / blood
  • Creatinine / blood
  • Cryoglobulins / analysis
  • Female
  • Humans
  • Immunoglobulin A / blood
  • Immunoglobulin G / blood
  • Immunoglobulin kappa-Chains / blood
  • Immunoglobulin lambda-Chains / blood
  • Male
  • Multiple Myeloma / diagnosis
  • Paraproteinemias / diagnosis*
  • Prospective Studies
  • Proteinuria / urine
  • Senegal

Substances

  • Blood Proteins
  • Cryoglobulins
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin kappa-Chains
  • Immunoglobulin lambda-Chains
  • Bence Jones Protein
  • Creatinine
  • Calcium