Sinclair D, Cranfield T
Department of Chemical Pathology, Queen Alexandra Hospital, Portsmouth, UK.
Ann Clin Biochem. 2001 Sep;38(Pt 5):564-5. doi: 10.1177/000456320103800517.
This report describes a case of IgD lambda myeloma which was discovered only following investigation of a suspicious 'low gamma region'. If anti-IgD investigations had not been carried out, it may have been misinterpreted as Bence Jones myeloma. The case illustrates that evaluation of serum and urine in cases of suspected myeloma is mandatory and that the possibility of IgD myeloma in cases that appear to be 'free light chain' paraproteins only should be investigated.
本报告描述了一例IgD λ型骨髓瘤病例，该病例仅在对一个可疑的“低γ区”进行检查后才被发现。如果没有进行抗IgD检测，它可能会被误诊为本-周氏骨髓瘤。该病例表明，对疑似骨髓瘤病例的血清和尿液进行评估是必不可少的，并且对于那些仅表现为“游离轻链”副蛋白的病例，应调查其患IgD骨髓瘤的可能性。
