Table 1: Laboratory findings and clinical information for four patients with IgD multiple myeloma: All IgD MM patients had high levels for SFLCs, and circulating plasma cells. Only the highest levels of free light chains are recorded in the table. All patients had multiple "monoclonal" bands, including patient 3 in whom IgD band overlapped transferrin band in beta region. The patient numbers are the same as in Figure 1.

 

Patient 1

Patient 2

Patient 3

Patient 4

Age

70

68

75

69

Race

African American

White

White

White

Sex

Male

Female

Female

Male

Immunoglobulin type

IgD Lambda

IgD Lambda

IgD Lambda

IgD Kappa

Conc. of Ig D band

2.69 g

0.84 g

1.01 g (including transferrin)

2.26 g

IgD quantification mg/dL

5260

1960

244

2442

IgA mg/dL

38

26

67

16

IgG mg/dL

358

371

672

278

IgM mg/dL

20

20

65

15

Plasma cells in blood, %, range

10

3

4 to 22

2 to 7

Highest Kappa FLC mg/L

6.11

1.61

0.92

4110

Highest Lambda FLC mg/L

2347

5214

5925

0.61

Lytic lesions

None recorded

Femur & humerus

None recorded

Multiple

eGFR mL

19

70

7

31

Hemoglobin g/dL

7.9

6.8

8.8

8.7

Calcium mg/dL (Corrected for Alb)

15.4

11

11.1

10.6

Other diagnoses

Renal ca, Bladder rupture, HTN

Psoriasis

COPD, HTN, DM

Alcohol use

Survival in months

1

14

43

31