Monoclonal gammopathy

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Monoclonal gammopathy
Monoclonal gammopathy Multiple Myeloma.png
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Often asymptomatic, may include anemia, bone pain, kidney dysfunction
Complications Multiple myeloma, AL amyloidosis, Waldenström's macroglobulinemia
Onset Typically in older adults
Duration Chronic
Types N/A
Causes Abnormal proliferation of a single clone of plasma cells
Risks Age, family history, radiation exposure, obesity
Diagnosis Serum protein electrophoresis, immunofixation electrophoresis, bone marrow biopsy
Differential diagnosis Polyclonal gammopathy, lymphoma, chronic lymphocytic leukemia
Prevention N/A
Treatment Monitoring, treatment of complications, chemotherapy for progression
Medication N/A
Prognosis Variable, depends on progression to symptomatic disease
Frequency Common in older adults, prevalence increases with age
Deaths N/A


Monoclonal gammopathy is a condition characterized by the presence of an abnormal protein, known as a monoclonal protein or M protein, in the blood. This protein is produced in excess by an abnormal clone of plasma cells, a type of white blood cell.

Causes[edit | edit source]

The exact cause of monoclonal gammopathy is unknown. However, it is believed to be related to changes in the DNA of a single plasma cell, which causes it to multiply uncontrollably and produce large amounts of the M protein.

Types[edit | edit source]

There are several types of monoclonal gammopathy, including:

  • Monoclonal gammopathy of undetermined significance (MGUS): This is the most common type of monoclonal gammopathy. It is usually harmless and does not cause any symptoms or health problems. However, in some cases, it can progress to more serious conditions, such as multiple myeloma or lymphoma.
  • Multiple myeloma: This is a type of cancer that affects plasma cells. It can cause a variety of symptoms, including bone pain, fatigue, and kidney problems.
  • Waldenström's macroglobulinemia: This is a rare type of cancer that affects plasma cells. It can cause symptoms such as fatigue, weight loss, and bleeding problems.

Symptoms[edit | edit source]

Most people with monoclonal gammopathy do not have any symptoms. However, in some cases, the condition can cause symptoms such as:

  • Fatigue
  • Bone pain
  • Kidney problems
  • Bleeding problems
  • Weight loss

Diagnosis[edit | edit source]

Monoclonal gammopathy is usually diagnosed through blood tests, which can detect the presence of the M protein. Other tests, such as bone marrow biopsy, may also be used to confirm the diagnosis and determine the type of monoclonal gammopathy.

Treatment[edit | edit source]

The treatment for monoclonal gammopathy depends on the type and severity of the condition. In many cases, no treatment is needed. However, if the condition progresses to a more serious disease, such as multiple myeloma or lymphoma, treatment may include chemotherapy, radiation therapy, or stem cell transplant.

See also[edit | edit source]

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Contributors: Prab R. Tumpati, MD