Scudla V, Budíková M, Fischerová E, Raska I, Vavrdová V
III. interní klinika Fakultní nemocnice s poliklinikou, Olomouc.
Vnitr Lek. 1991 Apr;37(4):342-51.
The authors evaluated in a group of 89 patients with monoclonal gammapathy (18 patients with monoclonal gammapathy of undermined significance, 34 patients examined at the time of diagnosis of multiple myeloma (MM) and in a group of 71 patients with MM examined in different stages of the disease) the serum beta 2-microglobulin. It was revealed that the mentioned indicator is of no differential diagnostic value, it is not related to sex nor to the immunochemical type of monoclonal immunoglobulin. A relationship of serum beta 2-microglobulin to age, serum urea and serum creatinine, to the severity of anaemia, serum albumin, sedimentation rate of red cells, degree of infiltration of bone marrow by myeloma plasmocytes and the stage of the disease, evaluated by the systems of Durie-Salmon and Medical Research Council, was found. The authors tested the importance of serum levels of this indicator for the prognosis of the disease.
作者对一组89例单克隆丙种球蛋白病患者(18例意义未明的单克隆丙种球蛋白病患者、34例在多发性骨髓瘤(MM)诊断时接受检查的患者以及一组71例处于疾病不同阶段的MM患者)的血清β2-微球蛋白进行了评估。结果显示,上述指标无鉴别诊断价值,与性别及单克隆免疫球蛋白的免疫化学类型均无关。发现血清β2-微球蛋白与年龄、血清尿素和血清肌酐、贫血严重程度、血清白蛋白、红细胞沉降率、骨髓瘤浆细胞对骨髓的浸润程度以及采用Durie-Salmon和医学研究委员会系统评估的疾病分期有关。作者检验了该指标血清水平对疾病预后的重要性。