scholarly journals IgE myeloma associated with plasma cell leukaemia.

1983 ◽  
Vol 59 (698) ◽  
pp. 784-785 ◽  
Author(s):  
N. C. West ◽  
A. M. Smith ◽  
R. Ward
2020 ◽  
Vol 30 (1) ◽  
pp. 134-142 ◽  
Author(s):  
Nicolas Galakhoff ◽  
Jean-Richard Eveillard ◽  
Maël Padelli ◽  
Jean-Luc Carré ◽  
Éric Lippert ◽  
...  

This is a case report of a challenging diagnosis of IgE monoclonal gammopathy of undetermined significance, which transformed into myeloma, then transformed into IgE-producing plasma cell leukaemia in a 71-year-old male who was followed in Brest, France, from 2015 to 2019. The IgEproducing variant is the rarest sub-type of multiple myeloma, and plasma cell leukaemia is considered to be the rarest and the most aggressive of human monoclonal gammopathies. In November 2015, hypogammaglobulinemia was detected during a systematic check-up. A kappa light chain monoclonal gammopathy was first diagnosed due to an increase of the free kappa/lambda light chains ratio. No monoclonal immunoglobulin was detected by either serum protein electrophoresis (Capillarys 2, Sebia, Issy-les-Moulineaux, France) or immunofixation (Hydrasys 2, Sebia, Issy-les- Moulineaux, France). In June 2018, a blood smear led to the diagnosis of plasma cell leukaemia. A monoclonal peak was detected and identified as IgE-kappa. Analysis of an archival sample taken three years earlier, revealed the presence of a monoclonal IgE, which had been missed at diagnosis. Chemotherapy with bortezomib and dexamethasone was introduced. The patient survived 10 months after the diagnosis of leukaemia. This case shows that an abnormal free light chain ratio should be considered as a possible marker of IgE monoclonal gammopathy even in the absence of a solitary light chain revealed by immunofixation. In addition, the use of an undiluted serum may increase the sensitivity of the immunofixation for the detection of IgE monoclonal gammopathies compared to the 1:3 dilution recommended by the manufacturer.


1996 ◽  
Vol 92 (1) ◽  
pp. 134-136 ◽  
Author(s):  
Akimichi Ohsaka ◽  
Naotake Sato ◽  
Yasufumi Imai ◽  
Shinji Hirai ◽  
Yuji Oka ◽  
...  

2004 ◽  
Vol 151 (1) ◽  
pp. 237-238 ◽  
Author(s):  
J.E. Kim ◽  
M-Y. Kim ◽  
H.O. Kim ◽  
Y.M. Park

2020 ◽  
Vol 190 (4) ◽  
Author(s):  
Siobhan V. Glavey ◽  
Lyndsey Flanagan ◽  
Rachel Bleach ◽  
Claire Kelly ◽  
John Quinn ◽  
...  

1962 ◽  
Vol 28 (4) ◽  
pp. 222-229 ◽  
Author(s):  
Eivind B. Thorling

2009 ◽  
Vol 24 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Gösta Gahrton ◽  
Lore Zech ◽  
Kenneth Nillsson ◽  
Berit Lönnqvist ◽  
Anders Carlström

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 731-731
Author(s):  
Mary B. Drake ◽  
Simona Iacobelli ◽  
Anja van Biezen ◽  
Jane F. Apperley ◽  
Dietger W. Niederwieser ◽  
...  

Abstract Introduction: Primary plasma cell leukaemia (PCL) is a rare disorder representing less than 5% of malignant plasma cell disease and is associated with a poor prognosis with median survivals in PCL reported at 8 to 12 months, significantly shorter than for Multiple Myeloma even when the comparison is adjusted to compare only with Multiple Myeloma of high tumour mass. Treatment of PCL with alkylating agent-based therapy is ineffective and while polychemotherapy may offer improved survival, results remain disappointing with a few exceptions. Autologous transplantation is now being used widely in the treatment of these patients and this report summarises the European Blood and Marrow Transplant (EBMT) experience of this disorder. Patients and Methods: A retrospective study was carried out with 20844 patients with common type multiple myeloma (58% IgG, 21% IgA and 19% light chain types only) and 272 patients with primary plasma cell leukaemia who underwent first autologous transplantation between 1980 and 2006. All patients were reported to the EBMT registry using MED-A (limited data set) or MED-B (more extensive data set) forms. All autografted patients were included in the study regardless of the availability of complete MED-A or MED-B data. The proportion of patients that could be evaluated for each parameter was noted and the number of evaluable patients included in the result. Comparisons between the two groups were made using Chi-squared test for categorical data and the Mann-Whitney test for continuous data. Overall Survival and Progression-Free Survival were calculated using the Kaplan-Meier method and comparisons were made using the Log-Rank test. Relapse/Progression and Death without relapse or progression probabilities were computed by the proper non-parametric estimator for outcomes with competing risks and compared by the Gray test. Results: There were no significant differences in age and gender of the PCL and myeloma groups. Calcium and albumin were also not significantly different, however, haemoglobin was significantly lower in the PCL group (11g/dl versus 9g/dl - P=0.000) while creatinine was significantly higher in the PCL group - 92 micro mol/l versus 122 micro mol/l - P=0.000). B2 microglobulin was significantly higher in the PCL group which tends to be diagnosed with a more advanced disease. There was no difference in the type of graft used or in the use of total body irradiation but the PCL group were transplanted within a shorter time from diagnosis (6.0 v 7.7 months - P=0.000). While there was no significant difference in engraftment, PCL patients were more likely than myeloma patients to enter CR post-autologous transplantation. Despite this, overall survival for the PCL patients was greatly inferior to the myeloma patients - 62.3 months (CI 60.4–64.3) versus 25.7 months (CI 19.5–31.9 - P=0.000). Poor survival is accounted for by an increase in relapse-related mortality and post-transplant responses of short duration. Conclusion: This is the largest study of plasma cell leukaemia patients ever reported. Our data shows an improved outcome for these patients with use of autologous transplantation but undoubtedly this transplant group represents the fittest of such patients and their outcome is still greatly inferior to comparable myeloma patients.


2016 ◽  
Vol 40 ◽  
pp. 30-32 ◽  
Author(s):  
Giuseppe Mele ◽  
Maria Rosaria Coppi ◽  
Gianluca Guaragna ◽  
Alessandro Spina ◽  
Angela Melpignano

Sign in / Sign up

Export Citation Format

Share Document