Vargas V, Pedreira J D, Vilaseca J, Ramos F, Rodrigo M J, Guardia J
Med Clin (Barc). 1981 Oct 10;77(6):247-9.
Two cases of transitory IgM monoclonal gammopathy associated with infectious disease are presented. One patient was a 29 year-old woman with acute brucellosis; electrophoresis showed a homogeneous spike of slow gamma mobility constituted of IgM lambda. The second case was a 52 year-old male with milliary tuberculosis, in whom a homogenous spike of rapid gamma mobility constituted of IgM kappa was found. The monoclonal component disappeared in both cases after treatment of the infections; at 2 and 21/2 months respectively. The fact that the association of transitory IgM paraprotein and infection is not common, especially with brucellosis, is commented upon and a direct relationship between the infection and the monoclonal component is suggested.
本文报告了两例与传染病相关的暂时性IgM单克隆丙种球蛋白病。一例患者为29岁女性,患有急性布鲁氏菌病;电泳显示一条由IgM λ构成的γ移动缓慢的均匀尖峰。第二例是一名52岁男性,患有粟粒性肺结核,在其体内发现一条由IgM κ构成的γ移动快速的均匀尖峰。两例患者在感染治疗后,单克隆成分均消失,分别在治疗后2个月和2个半月消失。文中讨论了暂时性IgM副蛋白与感染的关联并不常见,尤其是与布鲁氏菌病的关联,并提出了感染与单克隆成分之间的直接关系。