Abstract
We describe a unique case of IgG lambda myeloma in which a plasma cell leukemia developed and the paraprotein changed from IgG lambda to lambda chain, the latter inducing fatal renal failure. In addition, J-chain was detected in the cytoplasm of the plasma cell leukemia cells.
MeSH terms
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Female
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Humans
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Immunoglobulin G / blood
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Immunoglobulin G / metabolism*
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Immunoglobulin J-Chains / metabolism*
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Immunoglobulin lambda-Chains / blood
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Immunoglobulin lambda-Chains / metabolism*
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Leukemia, Plasma Cell / blood
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Leukemia, Plasma Cell / metabolism*
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Middle Aged
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Multiple Myeloma / blood
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Multiple Myeloma / metabolism*
Substances
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Immunoglobulin G
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Immunoglobulin J-Chains
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Immunoglobulin lambda-Chains