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Lidya Utami
Faculty of Medicine, University of Indonesia, Jakarta
Medicine & Pharmacology

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The first report of myeloma with IgD κ and free κ in Indonesia Wirawan, Riadi; Utami, Lidya; Muthalib, Abdul
Medical Journal of Indonesia Vol 20, No 3 (2011): August
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1533.474 KB) | DOI: 10.13181/mji.v20i3.451

Abstract

IgD κ myeloma is a rare plasma cell neoplasm case and has never been reported before in Indonesia. In normal condition, IgD level in blood is very low, therefore increase of IgD level in myeloma could be missed by serum protein electrophoresis. A case of a 59 years old female with severe bone pain is reported. In radiology evaluation, there were thoracal compression fracture and thoracal foramen narrowing. For this patient, the myeloma diagnosis was based on WHO criteria, the stage IIIb was based on Durie and Salmon criteria, and bad prognosis with prognostic index stage III diagnosis was based on International Prognostic Index from International Myeloma Working Group, respectively. In serum protein electrophoresis we found a very small monoclonal spike and in immunofi xation there were monoclonal IgD κ and free light chain κ. (Med J Indones 2011; 20:217-21)Keywords: immunofixation, myeloma IgD κ, protein electrophoresis
Co-Authors Abdul Muthalib Riadi Wirawan