Research Article

Utility of Bruton’s Tyrosine Kinase Inhibitors in Light Chain Amyloidosis Caused by Lymphoplasmacytic Lymphoma (Waldenström’s Macroglobulinemia)

Table 2

Coagulation parameters of patient 1 in the setting of acalabrutinib-related subungual hematoma.

ParametersReference rangeInitialFollow-up (6 weeks after holding acalabrutinib)

PT9.7–13.0 sec12.512.5
APTT23.0–32.4 sec31.631.1
Platelet count150–400 k/uL171122
Factor VIII50–173%135106
VWF: Ag50–173%162126
VWF: RCo42–146%7676
VWF: CB41–161%9172
FVIII/VWF ratio>0.40.80.8
RCo/VWF ratio>0.40.50.6
CB/VWF ratio>0.50.60.6
Multimeric analysis
Low MW multimers8.9–23.1%41.134.7
Intermediate MW multimers21.6–38.9%34.632.5
High MW multimers39.9–68.3%24.332.8
IgM κ monoclonal protein0 g/dL0.410.33
IgM40–230 mg/dL638505

vWF: von Willebrand factor, Ag: antigen, RCo: ristocetin cofactor, CB: collagen binding, and MW: molecular weight.