Monoclonal Gammopathy-Associated Neuropathy

Curr Hematol Malig Rep. 2024 Dec 16;20(1):2. doi: 10.1007/s11899-024-00745-8.

Abstract

Purpose of review: Peripheral neuropathy (PN) is more commonly seen in individuals with monoclonal gammopathies, especially in patients with an IgM monoclonal gammopathy or Waldenström macroglobulinemia.

Recent findings: There are multiple potential ways that the paraprotein may result in peripheral neuropathy. The diagnosis and management of monoclonal gammopathy-associated PN are challenging and necessitate a concerted effort between the hematologist/oncologist and the neurologist. This review describes the most common PN syndromes associated with monoclonal gammopathy, such as anti-myelin-associated glycoprotein neuropathy, light chain amyloidosis, cryoglobulinemia, POEMS, CANOMAD, and others. We also review the therapies used to treat these conditions.

Keywords: Amyloidosis; Anti-MAG; CANOMAD; Cryoglobulinemia; Monoclonal gammopathy; Neuropathy; POEMS; Waldenström macroglobulinemia.

Publication types

  • Review

MeSH terms

  • Humans
  • Paraproteinemias* / complications
  • Paraproteinemias* / diagnosis
  • Peripheral Nervous System Diseases* / diagnosis
  • Peripheral Nervous System Diseases* / etiology
  • Waldenstrom Macroglobulinemia / complications
  • Waldenstrom Macroglobulinemia / diagnosis