From: Amyloidosis: a case series and review of the literature
Pertinent investigations | Value (normal range) |
---|---|
WBC | 15.7 × 109/L (3.5–10.5) |
ANC | 10.8 × 109/L (2.0–7.5) |
Hemoglobin | 123 g/L (115–155) |
Platelets | 343 × 103/L (150–450) |
Creatinine | 107 mmol/L (< 75) |
Ionized calcium | 1.09 mmol/L (1.12–1.3) |
Albumin | 31.8 g/L (34–50) |
Bilirubin | 20 μmol/L (3–17) |
LDH | 340 IU/L (< 234) |
Troponin | 0.02 ng/L (< 0.1) |
NT-proBNP | 980 ng/L (< 100) |
24-hour urine protein | 0.22 g (< 0.2) |
24-hour urine albumin | 0.09 g (< 0.03) |
Gammopathy workup: | |
IgG | 7.83 g/L (7–15) |
IgM | 0.72 g/L (0.6–3) |
IgA | 1.79 g/L (0.6–4) |
Serum protein electrophoresis | No quantifiable monoclonal protein |
Serum immunofixation | Discrete band of IgD lambda |
Serum free light chains | Lambda: 186.4 mg/L (5.7–26.3) Kappa: 7.54 mg/L (3.3–19.4) Lambda/kappa: 24.6 |