一50歲男性主訴下背痛,X光檢查顯示L2-L4壓迫性骨折(compression fracture)。血液生化檢驗結果如下:albumin 3.0 g/dL (3.7～5.3);total protein 4.2 g/dL (6.4～8.4);calcium 10.4 mg/dL (8.4～10.6);creatinine 2.5 mg/dL (0.7～1.5);IgG 498 mg/dL (751～1560);IgA 55 mg/dL (82～453);IgM 27 mg/dL (46～304);骨髓穿刺細胞學檢驗顯示:normocellularity with fair maturation of erythroid and myeloid series,但有15% plasma cells,下列敘述何者錯誤?
A末梢血液抹片可能沒有rouleaux formation
B末梢血液抹片plasma cells很少見
C尿液dipstick test可偵測到蛋白尿正確答案
D小便檢驗應可測出monoclonal light chain
答案與詳解
