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患者 男性,73岁。12年前因检查发现IgG增高住入我院。患者无任何症状和阳性体征。实验室检查:血清IgG 26.85g/L,IgA、IgM、IgD、CH_50、C_3均正常,血清蛋白电泳γ球蛋白35％,尿本周蛋白(一),血沉24mm/h,血常规、肝功能正常,X线摄片:颅骨,肋骨、骨盆、腰椎均无异常,骨髓象正常。诊断为良性单克隆丙球蛋白血症观察。出院后去北京某医院复查,诊断同前。此后每年复查上述各项检查,仅有IgG增高,波动于25.0g/L左右,无感染发热、出血和骨骼疼痛等表现。3年前IgG增至36.04g/L,X线摄片及骨髓象仍然正常。2年前出现
Male patient, 73 years old. 12 years ago because of examination found elevated IgG admitted to our hospital. Patients without any symptoms and positive signs. Laboratory tests: Serum IgG 26.85g / L, IgA, IgM, IgD, CH_50, C_3 were normal, serum protein electrophoresis gamma globulin 35%, urinary albumin (a), ESR 24mm / h, blood, liver function Normal, X-ray: skull, ribs, pelvis, lumbar no abnormalities, bone marrow as normal. Diagnosis of benign monoclonal globulin observed. After discharge to a hospital in Beijing for review, the same diagnosis. After each year review of the above tests, only IgG increased, fluctuations in 25.0g / L or so, no infection fever, bleeding and bone pain and other performance. 3 years ago, IgG increased to 36.04g / L, X-ray and bone marrow is still normal. Appeared 2 years ago