Dear collegue,
Recently, we were somewhat puzzled by a 67 year old
neurological patient. Serum protein electrophoresis showed several
distinct bands in the gamma region, which on immunofixation proved to
be IgG kappa bands. We have seen examples of multiple bands, but this
time we have four bands. Has anyone experience with tetraclonalicity
(I didn't know this word existed). Further details: serum protein 87
g/L, tot.Ca 2.40 mmol/L, albumin unknown.
Any comment welcome.
Happy Easter
Raymond Wulkan
Zuiderziekenhuis
Rotterdam
The Netherlands
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