[bad blood]

Need help with lab results

by bad blood on Tue Sep 29, 2015 9:15 am

Hello,
I had my mgus labs and wanted your help on the double m-spikes. All & all..my labs look good still. I will have mgus for 10 years this January. Thanks

Serum immunofixation electrophoresis reveals a doublet M-spike of
monoclonal IgG lambda in the slow gamma region.

Kappa Free Light Chains QNT 7.83 3.30-19.40 mg/L
Lambda Free Light Chains QNT 12.80 5.71-26.30 mg/L
Free Kappa/Lambda Ratio 0.61Com

Total Protein 7.4 6.4-8.2 gm/dL
Alb 5.03 4.00-5.30 gm/dL
Alpha 1 0.18 0.10-0.30 gm/dL
Alpha 2 0.73 0.50-1.00 gm/dL
Beta 0.73 0.60-1.10 gm/dL
Gamma 0.74 0.60-1.60 gm/dL
Abnormal Protein Band 0.4 gm/dL
Albumin % 68.0 %
Alpha 1 % 2.4 %
Alpha 2 % 9.8 %
Beta Percent 9.8 %
Gamma Globulin % 10.0 %
Abnormal Protein Band % 5.4 %
SPE Interp. see noteComment:
SPE reveals a doublet M-spike of monoclonal IgG lambda in the slow gamma
region (see serum IFE). Both bands, measured together, are 0.4 gm/dL. The
remainder of gamma globulin is decreased.

My next appointment is in January 2016. That is why I am asking for some help with these labs!

Igg 906 700-1600 mg/dL
IGA 153 70-400 mg/dL
Igm 73 40-230

Last edited by bad blood on Tue Sep 29, 2015 1:15 pm, edited 1 time in total.

[Cedb]

Re: Need help with lab results

by Cedb on Tue Sep 29, 2015 1:26 pm

As far as I know there is no prognosis value in having 2, 3 m-spikes vs. one, if this is indeed your question. Your numbers look good and I take it you have been pretty stable for 10 years. If there is no CRAB symptoms (calcium, creatinine, anemia and bone lesions) then you still have MGUS...

[JimNY]

Re: Need help with lab results

by JimNY on Tue Sep 29, 2015 2:14 pm

Sorry, but what help do you exactly need? "Need help with my labs" as a discussion title doesn't really make clear what your question is, and "wanted your help on the double m-spikes" doesn't de-muddy the waters much ... at least not for me.

[bad blood]

Re: Need help with lab results

by bad blood on Wed Sep 30, 2015 9:14 am

Thank you for your reply. They didn't run the metabolic panel so I don't know if my calcium is elevated. My bone survey said diffuse osteopenia. Elevated WBC, as always, without any infection.

My mchc is low now. My bones crunch when I roll on my side at night. Leg weakness is strong but I walk a lot of miles a week to build strength. I also have bad shoulder pain. Nothing showed up on bone survey.

Yes, I'm always wondering why I have had 2 M-spikes for a few years now. Same M-spike. I have not had any treatments.

They are now running the von willebrand panel to see what type of acquired von willebrand I actually got from my MGUS. The doctor thought chemo might fix my acquired von willebrand.

Take care.