Monoclonal gammopathy of undetermined significance: A primary care guide
Author(s) -
Jack Khouri,
Christy Samaras,
Jason Valent,
Alex Mejia Garcia,
Beth Faiman,
Saveta Mathur,
Kim Hamilton,
Megan O. Nakashima,
Matt Kalaycio
Publication year - 2019
Publication title -
cleveland clinic journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.359
H-Index - 63
eISSN - 1939-2869
pISSN - 0891-1150
DOI - 10.3949/ccjm.86a.17133
Subject(s) - medicine , monoclonal gammopathy of undetermined significance , monoclonal gammopathy , multiple myeloma , lymphoproliferative disorders , monoclonal , monoclonal antibody , immunology , lymphoma , antibody
Monoclonal gammopathy of undetermined significance (MGUS) is commonly diagnosed in outpatients being worked up for an array of clinical concerns. It carries a risk of progression to myeloma and other lymphoproliferative disorders that, albeit low (1% per year), warrants regular follow-up. Patients with MGUS can be risk-stratified on the basis of the amount and type of their monoclonal protein as well as whether they have an abnormal light-chain ratio. Here, we provide a guide to the diagnosis, workup, and management of MGUS.
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