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Artefactual decrease in total protein concentration in patients with monoclonal gammopathies: a method-dependent error
Authors:K J Whitlow  A A Nanji  M R Pudek
Affiliation:Division of Clinical Chemistry, Vancouver General Hospital and University of British Columbia, Vancouver, B.C. Canada V5Z 1M9
Abstract:
We found total protein estimates in patients with monoclonal gammopathies to be erroneously low when using the Cobas-Bio centrifugal analyzer. This problem occurred only when a serum-water blank was used. This probably results from the precipitation of these proteins under conditions of low ionic strength resulting in high blank readings. The problem can be avoided if a serum-saline blank is used.
Keywords:blood protein disorders  macroglobulinemia  multiple myeloma  myeloma proteins  serum globulins
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