Table 3 Pertinent investigations at presentation including gammopathy workup
From: Amyloidosis: a case series and review of the literature
Pertinent investigations | Value (normal range) |
|---|---|
WBC | 5.5 × 109/L (3.5–10.5) |
ANC | 3.8 × 109/L (2.0–7.5) |
Hemoglobin | 112 g/L (115–155) |
MCV | 102 fL (80–100) |
Platelets Creatinine | 261 × 103/L (150–450) |
eGFR | 46 (> 90) |
Ionized calcium | 1.68 mmol/L (1.12–1.3) |
PTH | 0.3 pg/mL (1.2–8.4) |
Gammopathy workup | |
IgG | 29 g/L (7–15) |
IgM | < 0.2 g/L (0.46–3.04) |
IgA | < 0.31 g/L (0.92–4.53) |
Beta-2 microglobulin | 603.9 mg/L (67.8–198.3) |
24-hour urine protein | 5.36 g (< 0.2) with 99% gamma globulins |
Urine protein electrophoresis | IgG kappa and free kappa |
Serum protein electrophoresis Serum immunofixation | Monoclonal protein 20 g/L IgG kappa |
Serum free light chains | Lambda: 3.8 mg/L (5.7–26.3) Kappa: 3620 mg/L (3.3–19.4) Kappa/lambda ratio: 952 |