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General questions and discussion about multiple myeloma (i.e., symptoms, lab results, news, etc.) If unsure where to post, use this discussion area.

Light chain escape vs. light chain deposition disease

by JBritt on Fri Oct 26, 2018 4:05 pm

Are light chain escape and light chain deposition disease the same thing?

JBritt
Name: Jewell
Who do you know with myeloma?: Me
When were you/they diagnosed?: October 2015
Age at diagnosis: 64

Re: Light chain escape vs. light chain deposition disease

by Multibilly on Fri Oct 26, 2018 6:31 pm

Hi Jewell,

No.

Light chain escape is by definition a phenomenon that can occur post-treatment, where the body secretes monoclonal light chains at a rate greater than the corresponding intact monoclonal immunoglobulin (i.e. M-spike) rate. It can occur in myeloma patients.

Light chain deposition disease (LCDD) is actually a disease (as opposed to a phenomenon) that is distinct from myeloma (but often is accompanied by a myeloma diagnosis), where the monoclonal light chains are deposited in various parts of the body instead of being cleared by the kidneys. These deposits can cause organ damage, etc.

Multibilly
Name: Multibilly
Who do you know with myeloma?: Me
When were you/they diagnosed?: Smoldering, Nov, 2012

Re: Light chain escape vs. light chain deposition disease

by JBritt on Fri Oct 26, 2018 11:14 pm

Thank you Multibilly.

JBritt
Name: Jewell
Who do you know with myeloma?: Me
When were you/they diagnosed?: October 2015
Age at diagnosis: 64


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