Investigation | Levels (normal range) |
---|---|
Blood routine test | |
White blood cell count | 6.21 (3.5–9.5 × 109) |
Red blood cell count | 4.35 (4.3–5.8 × 1012) |
Hemoglobin | 130 (130–175 g/l) |
Platelet count | 427 (125–350 × 109) |
Erythrocyte sedimentation rate | 6 mm/1st hour |
Blood biochemical examination | |
Urea | 5.49 mmol/L (3.2–7.0) |
Creatinine | 74.1 μmol/L (44–115) |
Uric Acid | 224 μmol/L (210–430) |
Sodium | 139 mmol/L (137–147) |
Calcium | 2.33 mmol/L (2.10–2.60) |
Magnesium | 0.82 mmol/L (0.8–1.0) |
Electrophoresis of proteins and immunoglobulins | |
Total protein | 77.98 g/l (60–80) |
Albumin | 44.2 g/l (33–55) |
Globin | 33.78 g/l (15–35) |
M-protein | (−) |
Alfa1-globulin | 4.1 % (1.4–2.9) |
Alfa2-globulin | 12.5 % (7–11) |
Beta-globulin | 11.3 % (8–13) |
Gammab-protein | 25 % (9–16) |
IgG | 1310 mg/dl (751–1560) |
IgA | 212 mg/dl (82–453) |
IgM | 164 mg/dl (46–304) |
Kappa light chain | 1050 mg/dl (629–1350) |
Lambda light chain | 649 mg/dl (313–723) |
K/L | 1.62 |
Kappa light chain (urine) | 1.92 mg/dl (0–1.85) |
Lambda light chain (urine) | <5.0 mg/dl (0–5) |
Examination of marrow cell | |
Pathology: granulocytes, erythrocytes and giant cells are proliferous and active. Normal plasma cells are 9 % karyocytes. CD38, CD138, CD19 and CD45 (+), CD13, CD20, CD117,CD28 and CD56 (−). | |
Chromosome examinations:46,XY (20), no clonal disorder | |
RB-1 gene : no abnormalities | |
IgH gene: no abnormalities | |
TP53 gene: no abnormalities |