[Benign monoclonal gammapathies]. 1977

S Zimmermann

Monoclonal immunoglobulins (= paraproteins) in zone electrophoretic separation on paper, cellulose acetate foil or agar are demonstrated as narrow base gradients, which refers to the homogeneity of the molecules of the immunoglobulins. In unselected population they are observed in 0.1 to 1.2%, in which cases they more frequently appear with growing age, in persons older than 70 years they were established in 3%. The cause in question is only in a small part a plasmocytoma or another lymphoreticular disease. In the majority of cases, particularly in the cases with insignificant concentration of M-gradients the appearance of monoclonal immunoglobulins is the only deviation from the normal in an examination, which led to the notion essential benign monoclonal gammapathy. A therapy of this benign gammapathy is not necessary. For the demarcation of an early form of a plasmocytoma long-term controls with measuring of the concentration of the monoclonal immunoglobulin shall be carried out, since a permanent increase of the paraproteinaemia is the most reliable sign of a malignant gammapathy. Clinical observation and experimental investigations on animals make probable that the causes for the appearance of a benign monoclonal gammapathy are to be traced back to a special antigen stimulation in genetic disposition.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D010265 Paraproteinemias A group of related diseases characterized by an unbalanced or disproportionate proliferation of immunoglobulin-producing cells, usually from a single clone. These cells frequently secrete a structurally homogeneous immunoglobulin (M-component) and/or an abnormal immunoglobulin. Gammapathy, Monoclonal,Gammopathy, Monoclonal,Monoclonal Gammopathies,Paraimmunoglobulinemia,Paraimmunoglobulinemias,Paraproteinemia,Plasma Cell Dyscrasias,Monoclonal Gammapathies,Monoclonal Gammopathy,Cell Dyscrasia, Plasma,Dyscrasia, Plasma Cell,Monoclonal Gammapathy,Plasma Cell Dyscrasia
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006942 Hypergammaglobulinemia An excess of GAMMA-GLOBULINS in the serum due to chronic infections or PARAPROTEINEMIAS. Hyperimmunoglobulinemia,Hypergammaglobulinemias,Hyperimmunoglobulinemias
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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