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Hi there,

My CRP and ESR have been elevated for some time. My doctor decided to run serum protein bloodwork, the results detected a "faint-ill defined band of IgMm type Kappa". I was referred to a hematologist but it will take a long time to get an appointment. Can anyone help me understand what I am dealing with? Below is my bloodwork:

Hematology
WBC
8.0
4.0 - 11.0
x E9/L
RBC
4.56
4.00 - 5.10
x E12/L
Hemoglobin
135
120 - 160
g/L
Hematocrit
0.396
0.350 - 0.450
L/L
MCV
87
80 - 100
fL
MCH
29.6
27.5 - 33.0
pg
MCHC
341
305 - 360
g/L
RDW
13.6
11.5 - 14.5
%
Platelet Count
326
150 - 400
x E9/L
Differential
Neutrophils
5.2
2.0 - 7.5
x E9/L
Lymphocytes
2.2
1.0 - 3.5
x E9/L
Monocytes
0.5
0.2 - 1.0
x E9/L
Eosinophils
0.0
0.0 - 0.5
x E9/L
Basophils
0.0
0.0 - 0.2
x E9/L
Immature Granulocytes
0.0
0.0 - 0.1
x E9/L
Nucleated RBC
0
/100 WBC
  LifeLabs is now reporting five new CBC parameters
- Reticulocyte Hgb, IRF, IPF, NRBC, and IG. All
parameters will be automatically reported when
applicable. For more information please visit
LifeLabs.com , click on \"Healthcare Providers\" and
refer to an article called \"New Hematology
Instrumentation and Parameters\" under the \"News
and Notices\" section.
Erythrocyte Sedimentation Rate
HI
35
2 - 30
mm/hr
General Chemistry
Creatinine
57
50-100
umol/L
Glomerular Filtration Rate (eGFR)
119
  Normal eGFR is described as greater than or equal
to 90 ml/min/1.73 m2.

For patients of African descent, the reported
eGFR must be multiplied by 1.15.

Effective May 4 2015, eGFR is calculated using
the CKD-EPI 2009 equation.

KDIGO 2012 guidelines highlight the importance of
eGFR and urine albumin creatinine ratio (ACR) in
screening, diagnosis and management of CKD.
Results for eGFR should be interpreted in concert
with ACR.
Urate
233
150-390
umol/L
Alkaline Phosphatase
74
35-120
U/L
Gamma Glutamyl Transferase
LO
8
12-37
U/L
Alanine Aminotransferase
13
<36
U/L
Thyroid Function
Thyroid Stimulating Hormone [TSH]
0.87
0.32-4.00
mIU/L
Thyroxine Free [Free T4]
14
9-19
pmol/L
Reproductive and Gonadal
Testosterone Free
5
<30
pmol/L
  Interpret free testosterone results with caution
in presence of significant hypoalbuminemia.
Serum Proteins
Total Protein
76
60-80
g/L
Albumin
41.4
36.0-51.0
g/L
Alpha 1 Globulin
3.6
2.0-4.0
g/L
Alpha 2 Globulin
7.4
5.0-9.0
g/L
Beta 1 Globulin
4.9
3.0-6.0
g/L
Beta 2 Globulin
4.5
2.0-5.0
g/L
Gamma Globulin
14.2
6.0-16.0
g/L
  An ill-defined band in the mid-gamma globulin
region is detected.
Immunofixation
A faint ill-defined band of IgM, type Kappa, is
detected.
Please submit another specimen for immunofixation
electrophoresis in 6-12 months to confirm
observations.
Further investigation with quantitation of
immunoglobulins is suggested.
C Reactive Protein
HI
15.8
<5.0
mg/L

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