Paraproteinaemic neuropathy: management

Evidence-based neurology checklist on paraproteinaemic neuropathy: management: General investigations Routine bloods Immunoglobulin concentrations: IgG, IgA, IgM Serum protein immunofixation (IF) Serum plasma electrophoresis (SPEP) Bence Jones protein Cryoglobulins C reactive protein (CRP) Lactic…

General investigations

  • Routine bloods
  • Immunoglobulin concentrations: IgG, IgA, IgM
  • Serum protein immunofixation (IF)
  • Serum plasma electrophoresis (SPEP)
  • Bence Jones protein
  • Cryoglobulins
  • C reactive protein (CRP)
  • Lactic dehydrogenase (LDH)
  • Bone marrow aspiration

Conditional general investigations

Neurological investigations

Radiological investigations

Treatment of paraproteinaemic neuropathy

Acronym

References

  1. Dalakas MC. Pathogenesis and treatment of anti-MAG neuropathy. Curr Treat Options Neurology 2010; 12:71-83.
  2. Karam C, Moshe-Lilie O, Chahin N, Ragole T, Medvedova E, Silbermann R. Diagnosis of paraproteinemic neuropathy: room for improvement. J Neurol Sci 2020; 415:116902. 
  3. Haden RDM, Nobile-Orizo E, Sommer C, et al. European Federation of Neurological Societies/Peripheral Nerve Society guideline on management of paraproteinaemic demyelinating neuropathies. Report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society. Eur J Neurol 2006, 13:809–818.

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