[Gene C]

High kappa and kappa-lambda ratio

by Gene C on Mon Aug 15, 2016 2:30 pm

My family doctor on July 11, 2016 ran some blood tests and these results came up:

Hemoglobin - 18.3
Hematocrit - 55.7

He also ran another test and said I had high protein in the blood and urine.

On August 5, 2016, I had additional testing done at the request of a hematologist/oncologist. Here are key results of those tests:

Serum free light chain test:
Kappa - 78.2 High (3.5-19.4 mg/l)
Kappa-lambda ratio - 3.52 High (0.26-1.65)

Creatinine - 1.27 High (0.70-1.25)

I don’t know a lot about these lab tests for I never had them done. This is all new to me. And if more info is needed, just ask about sickness or past test. My next blood doc visit is this Friday, August 19.

I'm a 62 year old white male. Happily married for 15 years to the love of my life

Do you think I should be upset or worried about these results?

Thanks in advance for any and all help.

[Multibilly]

Re: High kappa and kappa-lambda ratio

by Multibilly on Mon Aug 15, 2016 3:32 pm

Hi Gene,

Welcome to the forum.

You really need to have a serum immunofixation and serum protein electrophoresis test in order to start worrying about something like MGUS (a precursor to myeloma). Until you have those other test results, you don't know if you are dealing with an infection or something like MGUS. Since your doctor ran a serum free light chain test, it could likely be that he already ran those other tests. So you might want to check and post those test results (including units of measure and normal reference ranges for all lab values).

Also, your hematocrit and hemoglobin levels seem high. Do you live at high altitude, smoke or is there another condition your doctor has attributed to these high levels? Folks on this site generally worry about their levels being too low, not too high.

Try not to fret in the meantime. I understand it's oh-so-hard to wait for info between appointments and lab tests.