[Tormed]

Mother's test results - does she have myeloma?

by Tormed on Mon May 12, 2014 12:26 pm

Hello,

My mother is 60 and has been seeing the hematologist for a while. She's also the patient of gastroenterology and endocrinology, having a fatty liver and using medicine. She also has osteoporosis and uses medicine related to that.

Here are her blood and urine test results, I'll appreciate if you interpret them to tell if she has myeloma or another disease. Everything looks normal on her urine test. But I am worried.

Thanks in advance.

Blood Test

PCT 0.290
LYM% 32.9 (13.4-44.9)
BASO% 0.6 (0.3-1.5)
EOS% 3.1 (0.9-6)
LYM# 2.7 (1.7-3.5)
EOS# 0.3 (0-0.5)
BASO# 0.0 (0-0.2)
HGB 13.7 (12-16)
HCT 41 (36-46)
MCH 28.5 (27.2-33.5)
MCHC 33.3 (32.7-35.6)
WBC 8.4 (4-10.3)
NEU% 57.4 (41-73)
MONO% 6 (5.1-10.9)
NEU# 4.8 (2.1-6.1)
MONO# 0.5 (0.3-0.9)
RBC 4.80 (4-5.77)
MCV 85.5 (80.7-95.5)
RDW 13.6 (11.8-14.3)
PLT 290 (156-373)
MPV 10 (6.9-10.8)

IgG 2095 (700-1600)
Glucose 93 (700-100)
MDRD eGFR 98 (90-)
GGT 23 (0-38)
HDL 69 (40-60)
LDL 58 (0-130)
Total Bilirubin 0.66 (0.3-1.2)
İndirect Bilirubin 0.53
Globulin 4.08
lgA 515.1 (70-400)
Kreatinin 0.62 (0.51-0.95)
ALT 21 (0-35)
LDH 160 (125-220)
ALP 110 (30-120)
Total Cholosterol 150 (200-)
Albumin 3.79 (3.5-5.2)
Direct Bilirubin 0.13 (0-0.2)
Potassium 4.72 (3.5-5.1)
Chloride 103 (98-107)
lgM 162.5 (40-230)
BUN 13.3 (8-23)
Uric Acid 5.87 (2.6-6)
AST 18 (0-35)
Trigliserid 116 (0-200)
Total Protein 7.87 (6.6-8.3)
Calcium 9.8 (8.8-10.6)
Sodium 139 (136-145)
B12 Vitamine 183 (126.5-505)
Sedimentation (ESH) 39 (0-20)
Free kappa light chain 27 (6.7-22.4)
Free lambda light chain 36 (8.3-27)

[Multibilly]

Re: Mother's test results - does she have myeloma?

by Multibilly on Fri May 16, 2014 4:43 pm

First off, I'm not a doctor.

You really can't make a determination of multiple myeloma from just the lab tests you show here. But since there is an elevated IgG and light chains, it would seem like a smart thing to do would be to order the extra tests just to eliminate multiple myeloma as a possibility (they are cheap and easy to do). But be clear that fatty liver disease can affect immunoglobulin levels, so that may very well be the culprit. But only a doctor can really make that call.