Dear
Mike,
Of course no-one does
what he is suggesting (or I will be very surprised if they do). He is probably
getting confused as labs where I have worked have always reported the bands as
‘Previously identified as IgG-Kappa’ for example but this doesn’t mean it was
re-fixed.
Cost would be enormous
too.
Regards,
Kath
Katharine Hayden
FRCPath
Consultant
Clinical Biochemist
Dept of
Clinical Biochemistry
Central
Manchester University Hospitals NHS Foundation Trust
Manchester Royal
Infirmary
Oxford
Road, Manchester M13
9WL
Tel: 0161 701
1106
Fax: 0161 276
4586
www.cmft.nhs.uk
Central
Manchester University Hospitals NHS Foundation Trust includes: Manchester Royal
Infirmary, Manchester Royal Eye
Hospital, Royal Manchester
Children's Hospital, Saint Mary's Hospital, University Dental Hospital of
Manchester,
Trafford
Hospitals and
Community Services.
From: Clinical biochemistry discussion
list [mailto:[log in to unmask]] On Behalf Of Hallworth Mike
(RLZ)
Sent: 05 November 2013
13:11
To:
[log in to unmask]
Subject: Paraprotein
studies
I have just had a rather odd
conversation with a newly appointed haematologist who insists that every other
Trust he has worked in has characterised paraproteins every time they are
measured - i.e. repeating the immunofixation to confirm GAM kappa lambda
etc.
We have always characterised it
when first seen then just quantitated by densitometry on subsequent occasions.
Is this not reasonable? Am I going mad? What do others
do?
Mike
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