Table 1: Blood results.

• Creatinine 88 umol/L,

• Adjusted calcium 2.45 mmol/L,

• Albumin 41 g/L,

• FBC:

- haemoglobin 138 g/L,

- white blood cell count 8.5 × 109/L,

- platelets 335 × 109/L,

• Serum protein electrophoresis: No monoclonal band.

• Beta 2 Microglobulin- 2.1 mg/L

• Free light chain analysis

- kappa free light chain level 322.49 mg/L (range 3.3-19.4),

- lambda free light chain level 7.34 mg/L (range 5.7-26.3) and

- kappa lambda ratio was elevated at 43.94 (range 0.26-1.65).

FBC: Full Blood Count.