[redfil]

Do my mother's test results indicate myeloma?

by redfil on Wed Dec 03, 2014 2:26 pm

Hello all,

My mother already has osteoporosis, a fatty liver, and high blood pressure. She doesn't have enough vitamin D either. She's 60 and fat. She's under control having regular blood tests etc and using medicine for these. Well, in 2012 her doctors decided to send her to hematologist since they saw something wrong in her blood.

Here are her recent test results, and I am afraid that she has multiple myeloma. The doctors also asked to have a bone survey. Please help me by looking at these results. Thanks in advance.

BASO% 1 (0.3-1.5)
WBC 8.7 (4.0-10.3)
NEU% 61.5 (41.0-73.0)
LYM% 29.7 (19.4-44.9)
MONO% 6 (5.1-10.9)
EOS% 1.8 (0.9-6.0)
NEU# 5.4 (2.1-6.1)
LYM# 2.6 (1.3-3.5)
MONO# 0.5 (0.3-0.9)
EOS# 0.2 (0.0-0.5)
BASO# 0.1 (0.0-0.2)
RBC 4.74 (4.00-5.77)
HGB 13.7 (12.0-16.0)
HCT 39.9 (36-46)
MCV 84.2 (80.7-95.5)
MCH 28.9 (27.2-33.5)
MCHC 34.3 (32.7-35.6)
RDW 13.7 (11.8-14.3)
PLT 308 (156-373)
MPV 9.6 (6.9-10.8)
PCT 0.294

IgA 499.8 (70-400)
lgG 1949.4 (700-1600)
lgM 173.2 (40-230)
Globulin 4.24
AST 22 (0-35)
ALT 23 (0-35)
ALP 109 (30-120)
Albumin 3.92 (3.5-5.2)
Total Bilirubin 0.62 (0.3-1.2)
Direct Bilirubin 0.14 (0.0-0.2)
Indirect Bilirubin 0.48
Calcium 9.1 (8.8-10.6)
Phosphor, inorganic 3.4 (2.8-4.1)
Sodium 138 (136-145)
Potassium 4.85 (3.5-5.1)
Chloride 102 (98-107)
CRP 16.9 (0.2-5.0)
Globulin 4.15
GGT 29 (0-38)
BUN 13.4 (8-23)
Creatinin 0.62 (0.51-0.95)
MDRD eGFR 98 (>90)
Uric Acid 6.91 (2.6-6)
LDH 162 (125-220)
Total Protein 8.16 (6.6-8.3)
Calcium 9.23 (8.8-10.6)
Sodium 137 (136-145)
Potassium 4.53 (3.5-5.1)
Chloride 102 (98-107)
Sed rate 58 (0-20)

Free Lambda Light Chain 53.30 (8.3-27)
Free Kappa Light Chain 28.60 (6.7-22.4)

[Dr. Edward Libby]

Re: Do my mother's test results indicate myeloma?

by Dr. Edward Libby on Thu Dec 04, 2014 1:25 am

Hello from Seattle redfil,

I see nothing in these results that tells me your mother has multiple myeloma. The bone survey will be valuable. In addition, the results of her serum protein electrophoresis (SPEP) will be helpful.

[redfil]

Re: Do my mother's test results indicate myeloma?

by redfil on Thu Dec 04, 2014 11:11 am

Thanks Dr. Libby. She had that test 3 months ago and it said ''There is no monoclonal gammopathy, but there is a suspicious view on lgG area,'' something like that.

If she doesn't have that disease, what else can be wrong? Does other factors or conditions affect lgG, lgA and kappa-lambda in blood?

[redfil]

Re: Do my mother's test results indicate myeloma?

by redfil on Wed Dec 24, 2014 2:10 pm

Protein Electrophoresis

Albumin % 38.8 (50-65)
Alfa 1% 2.3 (1-3)
Alfa 2% 13.8 (9.5-14.4)
Beta 1% 7.3 (6-9.8)
Beta 2% 8.5 (2.6-5.8)
Gamma% 29.3 (10.7-20.3)
A/G Ratio 0.63
Total Protein 8.4 (6.6-8.3)

It says suspicious view in the gamma zone. She wasn't hungry for this test, could it affect the results?

I have attached the result of blood protein electrophoresis as an image as well. Can asthma increase the levels of immunoglobulins in blood?

Bone survey result say that ''there are losses of height which are observed on the low thoracic level, everything else is normal. For that region, further analysis is suggested if necessary.'' Can osteoporosis cause that?

Thanks in advance.

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