Serum separation abnormality in a multiple myeloma patient
Introduction: M-protein secreted by myeloma cells do not only contribute to myeloma-related complications but is also a well-recognised source of interference in laboratory assays. We describe a case of a 62-year-old woman whose blood sample showed improper serum separation even after resampling. Ca...
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| Main Authors: | , , , |
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| Format: | Article |
| Published: |
Malaysian Society of Pathologists
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/108803/ https://www.mjpath.org.my/2023/v45n1/index.php |
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| Institution: | Universiti Putra Malaysia |
| Summary: | Introduction: M-protein secreted by myeloma cells do not only contribute to myeloma-related complications but is also a well-recognised source of interference in laboratory assays. We describe a case of a 62-year-old woman whose blood sample showed improper serum separation even after resampling. Case report: Centrifugation of a biochemistry specimen in a serum-separator tube received by the laboratory failed to separate any serum, nor did repeating the process at a longer duration. Repeat sampling only yielded a small volume of serum from which highly elevated total protein was noted upon analysis. Additional history from the treating clinician unveiled a diagnosis of multiple myeloma in this patient. Discussion: This case represents one of the rare, but significant pre-analytical interferences caused by M-proteins. |
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