Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (1215 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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   Greater than two bands: oligoclonal hypergammaglobulinemia (present in low concentrations, transient, results in polyclonal processes); autoimmune, viral, bacterial, parasitic infections; restoration of immunoglobulin synthesis of immunosuppressants, 15% normal (no clinical significance)

Decreased In

   
Albumin
   Congenital analbuminemia
   Nutritional deficiency
   Decreased synthesis
   Hepatocellular insufficiency, damaged liver (cirrhosis, hepatitis)
   Organ, tissue loss
   Urinary (nephrotic syndrome), cutaneous (excessive burns) urinary excretion in pregnancy
   Hypercatabolism
   Endocrine disorders (thyrotoxicosis, Cushing syndrome)
   
Alpha-1 globulin
   Hepatocellular insufficiency
   Malnutrition, protein loss

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