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I have many equivocal results with IFE on urine samples – can serum FLC assays help?

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I have many equivocal results with IFE on urine samples – can serum FLC assays help?

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Yes, because low levels of urinary monoclonal FLC (and therefore equivocal results) are usually associated with highly elevated serum FLC levels and abnormal FLC ratio. An equivocal IFE with a normal FLC result can reasonably be interpreted as “no monoclonal protein detected”. An equivocal result with an abnormal FLC result should be used as trigger for further studies.

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