Immunoglobulin D-λ/λ biclonal multiple myeloma: A case report

Table 1 Laboratory data in hospital

Item	Result	Reference range
Peripheral blood
White blood cells (× 109/L)	4.30	4-10
Neutrophils (× 109/L)	2.89	3.5-5.5
Red blood cells (× 1012/L)	1.81	4.0-5.5
Hemoglobin (g/L)	61	120-160
Erythrocyte sedimentation rate (mm/1st h)	150	0-20
Anemia project
Folic acid (ng/mL)	4.9	≥ 6.59
Vitamin B12 (pg/mL)	320.00	180.00-900.00
Ferritin (ng/mL)	636.60	11.00-306.8
Urine analysis
Urine protein	+-	-
Urine sugar	-	-
White blood cells	+-	-
Blood	-	-
Urinary sediment	Normal
Biochemistry
Aspertate aminotransferase (U/L)	28	8-40
Alanine aminotransferase (U/L)	12	0-40
Alkaline phosphatase (U/L)	50	40-100
Blood urea nitrogen (mmol/L)	23.97	2.9-8.2
Creatinine (μmol/L)	874	35-80
Uric acid (μmol/L)	732	155-357
Albumin (g/L)	32.5	34-48
Total protein (g/L)	63	60-80
Lactate dehydrogenase (U/L)	148	109-245
N-terminal pro-brain natriuretic peptide (pg/mL)	9670.00	0-125
C-reactive protein (mg/L)	4.1	0-8.2
Ca (mmol/L)	2.27	2.0-2.5
P (mmol/L)	1.84	0.9-1.34
Fe (μmol/L)	17.4	11-30
Serological test
β2-microglobulin (μg/mL)	> 13.77	0.9-2.7
IgM (mg/dL)	5.55	46-304
IgA (mg/dL)	< 6.67	82-453
IgG (mg/dL)	264.00	751-1560
LC (mg/dL)	134.00	629-1350
λ-LC (mg/dL)	1910.00	313-723

Ig: Immunoglobulin; LC: Light chain.