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[慢性淋巴细胞白血病中的副蛋白血症]

[Paraproteinemia in chronic lymphocytic leukemia].

作者信息

Jaworkowsky L, Puschkarew I, Jaworkowsky J

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1976;103(1):1-12.

PMID:58808
Abstract

In 10 from 305 patients affected with chronic lymphatic leukaemia a paraprotein was identified by paper electrophoresis in the blood, namely IgG 5 times, IgM 3 times, IgA once and 2 paraproteins IgG and IgM once. The paraprotein content laid between 0.24 and 2.0 g %. During a long-time observation the paraprotein concentrations varied only insignificantly and independently of the number of lymphocytes. In one patient M-gradient disappaered after 2 years. In 8 patients protein could be proved in the urine, in 5 of them 25-65% of the urine protein consisted of light chains. The course of the disease in these patients affected with paraproteinaemia scarcely differed from those patients without this protein anomaly. The conclusion may be drawn from this that the cell clon producing paraprotein is little aggressive.

摘要

在305例慢性淋巴细胞白血病患者中,有10例通过血液纸电泳鉴定出副蛋白,其中IgG 5例,IgM 3例,IgA 1例,IgG和IgM同时出现的副蛋白2例。副蛋白含量在0.24至2.0 g%之间。在长期观察中,副蛋白浓度变化不大,且与淋巴细胞数量无关。1例患者的M峰在2年后消失。8例患者尿液中可检测到蛋白,其中5例尿液蛋白的25%至65%由轻链组成。这些患有副蛋白血症的患者的病程与无此蛋白异常的患者几乎没有差异。由此可以得出结论,产生副蛋白的细胞克隆侵袭性较小。

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