Summary:
Cryoglobulins are immunoglobulins, which reversibly precipitate upon exposure to cold temperature and
redissolve at high temperature (above 37 °C). Brouet et al. classified cryoglobulinemia by the components of the
cryoprecipitate: Type I, isolated monoclonal immunoglobulins, type II, a monoclonal component, usually IgM
possessing activity toward polyclonal immunoglobulins, usually IgG, and type III, polyclonal immunoglobulins.
We proved 34 monoclonal cryoglobulins in our series of 3049 paraproteins. The most frequent (18x) were
paraproteins IgM (15x IgM-kappa, 2x IgM-lambda and 1x IgM type of light chains non detected), 13x paraproteins
IgG (6x IgG-kappa and 7x IgG-lambda), 1x double paraproteins IgA-kappa + IgG-lambda, 1x freemonoclonal light
chains lambda and 1x mixed cryoglobulinemia (type II) - paraprotein IgM-kappa with polyclonal IgG.
We determined concentration, cryocrit, viscosity and temperature of cryoprecipitation for every monoclonal
cryoglobulin.
Key words:
monoclonal cryoglobulin, paraprotein, cryocrit.
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