[CIS PIDD] [cis-pidd] monoclonal gammopathy and autoimmunity

[Wiens, Lynn A MD]

I have just seen a new patient 68y/o white female with a very long list
of medical conditions that always makes me suspicious as to whether each
one really exists.  What caught my attention, however, is a monoclonal
gammopathy (worked up by hematology as indeterminate) with elevated IgG
of ~1,700.  Bone marrow has been performed and was normal.  I will
obtain kappa/lambda free light chain evaluation, but does any other
pattern of monoclonal gammopathy with significant autoimmunity indicate
more genetic testing?  If so, what labs are currently doing these
studies? Thanks to all contributors!
Chronic Problems 
Diastolic heart failure 
Raynaud's syndrome 
Sjogren's disease 
Insomnia, Other 
Weakness 
MEMORY LOSS 
Palpitations 
PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREAST 
RHEUMATOID ARTHRITIS 
IRRITABLE COLON SYNDROME 
POSTINFLAMMATORY PULMONARY FIBROSIS 
UNS MENIERE'S DISEASE 
KERATOCONJUNCTIVITIS SICCA NSA SJOGREN'S 
SARCOIDOSIS 
MCTD (mixed connective tissue disease)


Lynn A. Wiens, MD
Warren Clinic
6160 South Yale Avenue  Tulsa, OK 74136
Specializing in the care of Allergy, Asthma, Sinus disease, and Chronic
Infections
http://tulsaallergynews.com
Office: 918-495-2636
Cell: 918-550-1200
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