A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female

Table 1

Laboratory values on admission and a year ago.

	Laboratory values
Creatinine upon admission	7.58 (0.6–1.2) milligram per deciliter (mg/dL)
Creatinine a year ago upon discharge	1.21 mg/dL
Blood urea nitrogen	38 (7–25) mg/dL
Total serum protein	4.5 (6.4–8.9) gram per deciliter (g/dL)
Serum albumin	2.2 (3.5–5.7) g/dL
Sodium	129 (136–145) millimole per liter (mmol/L)
Calcium	6.8 (8.6–10.3) mg/dL
24-hours total urine protein	6456 mg/24 hours (<150 mg/24 hours)
Serum complement 3	56 (83–193) mg/dL
Serum complement 4	24 (15–57) mg/dL
Free kappa light chain in the serum	44.9 (3.3–19.4) milligram per liter (mg/L)
Free lambda light chain in the serum	47.1 (5.7–26.3) mg/L
Kappa/lambda light chain free ratio	0.95 (0.26–1.65)
Antinuclear antibody	Negative
Double-stranded DNA antibody	Negative