Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales
Background: International guidelines suggest a screening panel for monoclonal gammopathies that contains serum protein electrophoresis (SPE), free light chain (FLC) measurements and immunofixation. This combination provides the possibility of a timely accurate diagnosis. Aim: To evaluate the sensi...
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Sociedad Médica de Santiago
2018
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oai:scielo:S0034-988720180001000642018-05-11Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonalesPeña,CamilaOrtiz,ManuelaVoisin,JavierPeralta,AlexisBalboa,VivianaDelgado,Florencia Diagnosis Multiple Myeloma Paraproteinemias Background: International guidelines suggest a screening panel for monoclonal gammopathies that contains serum protein electrophoresis (SPE), free light chain (FLC) measurements and immunofixation. This combination provides the possibility of a timely accurate diagnosis. Aim: To evaluate the sensibility of a simple screening panel (SPE + FLC). Material and Methods: We analyzed 191 consecutive serum samples of patients with a suspected monoclonal gammopathy (MG). Results: Seventy five patients were diagnosed with MG. The sensitivity and specificity of the combination of SPE + FLC for the diagnosis of monoclonal gammopathy were 95% (95% confidence intervals 89-99) and 99% (95% confidence intervals 96-100), respectively. Conclusions: We were able to validate the international recommendations on the diagnostic accuracy of this simple combination of two tests in serum for monoclonal gammopathy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.1 20182018-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000100064es10.4067/s0034-98872018000100064 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Diagnosis Multiple Myeloma Paraproteinemias |
spellingShingle |
Diagnosis Multiple Myeloma Paraproteinemias Peña,Camila Ortiz,Manuela Voisin,Javier Peralta,Alexis Balboa,Viviana Delgado,Florencia Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
description |
Background: International guidelines suggest a screening panel for monoclonal gammopathies that contains serum protein electrophoresis (SPE), free light chain (FLC) measurements and immunofixation. This combination provides the possibility of a timely accurate diagnosis. Aim: To evaluate the sensibility of a simple screening panel (SPE + FLC). Material and Methods: We analyzed 191 consecutive serum samples of patients with a suspected monoclonal gammopathy (MG). Results: Seventy five patients were diagnosed with MG. The sensitivity and specificity of the combination of SPE + FLC for the diagnosis of monoclonal gammopathy were 95% (95% confidence intervals 89-99) and 99% (95% confidence intervals 96-100), respectively. Conclusions: We were able to validate the international recommendations on the diagnostic accuracy of this simple combination of two tests in serum for monoclonal gammopathy. |
author |
Peña,Camila Ortiz,Manuela Voisin,Javier Peralta,Alexis Balboa,Viviana Delgado,Florencia |
author_facet |
Peña,Camila Ortiz,Manuela Voisin,Javier Peralta,Alexis Balboa,Viviana Delgado,Florencia |
author_sort |
Peña,Camila |
title |
Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
title_short |
Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
title_full |
Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
title_fullStr |
Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
title_full_unstemmed |
Sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
title_sort |
sensibilidad diagnóstica de electroforesis de proteínas y cadenas livianas libres séricas en gammapatías monoclonales |
publisher |
Sociedad Médica de Santiago |
publishDate |
2018 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000100064 |
work_keys_str_mv |
AT penacamila sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales AT ortizmanuela sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales AT voisinjavier sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales AT peraltaalexis sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales AT balboaviviana sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales AT delgadoflorencia sensibilidaddiagnosticadeelectroforesisdeproteinasycadenaslivianaslibressericasengammapatiasmonoclonales |
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