| Literature DB >> 25296094 |
Punit Yadav1, Nelson Leung2, Paul W Sanders3, Paul Cockwell1.
Abstract
Kidney involvement is common in paraprotein-related diseases. A diversity of clinical presentations and histopathological features can occur secondary to tissue injury caused by precipitation or deposition of a clonal immunoglobulin, usually an immunoglobulin light chain. The paraprotein is either produced by multiple myeloma or by a clone of B-cell lineage that does not fulfill diagnostic criteria for multiple myeloma. The recent introduction of serum immunoglobulin free light chain assays, which accurately quantify both light chain isotypes to produce a ratio that indicates the presence or absence of a light chain paraprotein, is a major clinical development. However, as the interpretation of the assay can be challenging, the aim of this review is to clarify the role of serum and urinary light chain assays in the screening and diagnosis of paraprotein-related kidney disease.Entities:
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Year: 2014 PMID: 25296094 PMCID: PMC4863638 DOI: 10.1038/ki.2014.333
Source DB: PubMed Journal: Kidney Int ISSN: 0085-2538 Impact factor: 10.612