Understanding and interpreting serum protein electrophoresis.

Serum protein electrophoresis is used to identify patients with multiple myeloma and other serum protein disorders. Electrophoresis separates proteins based on their physical properties, and the subsets of these proteins are used in interpreting the results. Plasma protein levels display reasonably...

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Publicado en:American Family Physician Vol. 71; no. 1; pp. 105 - 117
Autores principales: O'Connell TX, Horita TJ, Kasravi B
Formato: algorithm CEU exam questions pictorial tables/charts Journal Article
Publicado: American Academy of Family Physicians 1/1/2005
Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Academy of Family Physicians
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        atl: Understanding and interpreting serum protein electrophoresis.
      aug:
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          O'Connell TX
          Horita TJ
          Kasravi B
        affil: Kaiser Permanente Woodland Hills Family Medicine Residency Program, 5601 DeSoto Ave., Woodland Hills, CA 91365
      sug:
        subj:
          Blood Protein Disorders Diagnosis
          Blood Protein Electrophoresis
          Blood Proteins Analysis
          Education, Continuing (Credit)
          Multiple Myeloma Diagnosis
          Paraproteinemias Diagnosis
      ab: Serum protein electrophoresis is used to identify patients with multiple myeloma and other serum protein disorders. Electrophoresis separates proteins based on their physical properties, and the subsets of these proteins are used in interpreting the results. Plasma protein levels display reasonably predictable changes in response to acute inflammation, malignancy, trauma, necrosis, infarction, burns, and chemical injury. A homogeneous spike-like peak in a focal region of the gamma-globulin zone indicates a monoclonal gammopathy. Monoclonal gammopathies are associated with a clonal process that is malignant or potentially malignant, including multiple myeloma, Waldenstrom's macroglobulinemia, solitary plasmacytoma, smoldering multiple myeloma, monoclonal gammopathy of undetermined significance, plasma cell leukemia, heavy chain disease, and amyloidosis. The quantity of M protein, the results of bone marrow biopsy, and other characteristics can help differentiate multiple myeloma from the other causes of monoclonal gammopathy. In contrast, polyclonal gammopathies may be caused by any reactive or inflammatory process.
      pubtype: Academic Journal
      doctype:
        algorithm
        CEU
        exam questions
        pictorial
        tables/charts
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    language: English
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