Kappa Free Light Chain Elevation
The exact normal ratio of kappa to lambda according to a novel polyclonal free light chain assay ranges from 0 26 to 1 65.
Kappa free light chain elevation. In this patient power segment host dr. There are two types of light chains. If the amount of free light chains is higher or lower than normal it can mean you have a disorder of the plasma cells. Lambda and kappa light chains.
This is usually indicative of something other than a blood cell dyscrasia such as kidney disease. Leclair is a patient power host and retired. Results are given in milligrams per liter mg l. This assay has prognostic value in mgus multiple myeloma mm solitary plasmacytoma and amyloid light chain al amyloidosis and has been incorporated in response criteria for both mm and al amyloidosis.
Monomeric free light chains are. Both the kappa and the lambda chains can increase proportionately maintaining a normal ratio. The serum free light chain flc assay quantitates free kappa and free lambda immunoglobulin light chains. A free light chains test measures the amount of lambda and kappa free light chains in the blood.
Normal test results for free light chains are. Polymeric forms of both types of free light chain can also occur. Leclair provides a thorough scientific breakdown of light chains and the way they work. What else should i ask answered by dr.
There are two types of light chains. Told me my kappa light chain is elevated at 26. Susan leclair discusses what kappa light chains are and answers what an increase in kappa light chain numbers might mean for a patient with myeloma. 3 3 to 19 4 mg l kappa free light chains.
Likewise if a patient has lambda myeloma the lambda number will be watched. The test measures the levels of specific types of free light chains known as kappa and lambda and also the ratio between the two. She told me not to worry and we ll check again in 3 months. In the clip dr.
Increased kappa free light chains and an increased kappa lambda ratio may be seen with plasma cell disorders that produce excess monoclonal kappa light chains. In normal individuals free light chains are rapidly cleared from the blood and catabolised by the kidneys. Free light chains will normally be present in the blood at low levels with a kappa lambda ratio of approximately 0 26 to 1 65 for individuals with normal kidney function.