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What do elevated kappa light chains and IgM indicate?

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Patient's Query

Hi doctor,

I am a 34 year old male. My free kappa light chains are elevated, but the ratio came back normal. IgM is also elevated, but IgG and IgA are normal. What does this mean? I do have a history of DVT. I am on blood thinners. I also did angiograms of my lower extremities. Can you help me understand what is actually going on? Please find the attached reports.

Answered by Dr. Shravana Kumar Chinnikatti

Education:

MBBS

Professional Bio:

Dr. Shravana Kumar Chinnikatti is a Radiation Oncologist, Radiotherapist, and Medical Oncologist. His treatment plans commonly include radioactive implantations, external beam radiotherapy, hyperthermia, and combined modality therapy. He completed his MBBS from Kasturba Medical College in 2000 and MD from MS Ramaiah Medical College in 2005. He is currently practicing in Bangalore with 23 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have seen the reports (attachment removed to protect patient identity).

  • IgM and kappa can be raised in any acute infection.
  • Mixed infection probably started with viral and superadded bacterial infection. Repeat all blood tests after three months for evaluation. Start on a broad spectrum antibiotic for 7 to 14 days. There is nothing to worry, it is only a normal variant.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 18, 2017
Reviewed At April 22, 2025

Education:

MBBS

Professional Bio:

Dr. Shravana Kumar Chinnikatti is a Radiation Oncologist, Radiotherapist, and Medical Oncologist. His treatment plans commonly include radioactive implantations, external beam radiotherapy, hyperthermia, and combined modality therapy. He completed his MBBS from Kasturba Medical College in 2000 and MD from MS Ramaiah Medical College in 2005. He is currently practicing in Bangalore with 23 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Shravana Kumar Chinnikatti is a Radiation Oncologist, Radiotherapist, and Medical Oncologist. His treatment plans commonly include radioactive implantations, external beam radiotherapy, hyperthermia, and combined modality therapy. He completed his MBBS from Kasturba Medical College in 2000 and MD from MS Ramaiah Medical College in 2005. He is currently practicing in Bangalore with 23 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

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acute infectionviral infectionantibioticsbacterial infectionraised kappa levelelevated igminfection

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