LOINC display name : Immunoglobulin light chains.kappa.free/Immunoglobulin light chains.lambda.free Nephelometry
(S) [Mass ratio];
LOINC long common name : Kappa light chains.free/Lambda light chains.free [Mass Ratio] in Serum by Nephelometry;
LOINC short name : Kappa LC Free/Lambda Free Ser Neph;
LOINC description : An elevated kappa/lambda ratio supports the diagnosis of a monoclonal gammopathy and
requires further investigation. Borderline elevated kappa/lambda ratios occur with
renal impairment, and may require appropriate renal function tests. Elevated levels
of both kappa and lambda with normal kappa/lambda ratio - may be due to (1) renal
impairment (common); (2) Over-production of polyclonal FLC from inflammatory conditions
(common); (3) Bi-clonal gammopathies of different free light chain types (rare).;