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Cinderella in Serum Protein Electrophoresis

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Abstract

Paraproteinemia is characterised by clonal proliferation of plasma cells. A common laboratory finding in paraproteinemia being a monoclonal peak in serum protein electrophoresis (M band). But there are factors which produce a peak similar to M spike in serum protein electrophoresis and these factors are known as pseudoparaproteins. This case report discusses a rare cause of pseudo M spike in a known case of autoimmune hemolytic anaemia due to administration of drug-Rituximab, a monoclonal antibody by itself.

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Abbreviations

AIHA:

Autoimmune hemolytic anemia

CZE:

Capillary zone electrophoresis

Ig:

Immunoglobulin

k:

Kappa

MAT:

Monoclonal antibody therapy

CD:

Cluster of differentiation

LOS:

Length of stay

References

  1. Cook L, Macdonald D. Management of paraproteinaemia. Postgrad Med J. 2007;83(978):217–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Rajkumar S. Multiple myeloma: 2012 update on diagnosis, risk-stratification, and management. Am J Hematol. 2012;87(1):78–88.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Strobel S. The incidence and significance of pseudoparaproteins in a community hospital. Ann Clin Lab Sci. 2000;30(3):289–94.

    CAS  PubMed  Google Scholar 

  4. Pescovitz M. Rituximab an anti-CD20 monoclonal antibody: history and mechanism of action. Am J Transpl. 2006;6(5p1):859–66.

    Article  CAS  Google Scholar 

  5. Ruinemans-Koerts J, Verkroost C, Schmidt-Hieltjes Y, Wiegers C, Curvers J, Thelen M, et al. Interference of therapeutic monoclonal immunoglobulins in the investigation of M-proteins. Clin Chem Lab Med. 2014;52(11):235–7.

    Article  Google Scholar 

  6. McCudden C, Axel A, Slaets D, Dejoie T, Clemens P, et al. Monitoring multiple myeloma patients treated with daratumumab: teasing out monoclonal antibody interference. Clin Chem Lab Med. 2016;54(6):1095–104.

    Article  CAS  PubMed  Google Scholar 

  7. McCudden C, Voorhees P, Hainsworth S, Whinna H, Chapman J, Hammett-Stabler C, et al. Interference of monoclonal antibody therapies with serum protein electrophoresis tests. Clin Chem. 2010;56(12):1897–904.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Srinivas Narasimhachar Chakravarthy.

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None of the authors of this study have any conflict of interest.

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This article contains study with a human participant performed by the authors. Informed consent was obtained from the individual participant included in the study.

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Chakravarthy, S.N., Ramanathan, S., Menon, S. et al. Cinderella in Serum Protein Electrophoresis. Ind J Clin Biochem 33, 113–116 (2018). https://doi.org/10.1007/s12291-017-0643-8

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  • DOI: https://doi.org/10.1007/s12291-017-0643-8

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