26th July 2024

A 63-year-old patient was found to have a raised IgG level

A 63-year-old patient was found to have a raised IgG level and referred to the haematology clinic. He has a background of glaucoma and mild osteoarthritis of his right knee and is functionally independent. He reports feeling well. Blood tests have identified anaemia and renal impairment. Further investigations are performed:

Serum monoclonal protein level: 33 g/L

Bone marrow: 15% clonal plasma cells

How would you manage this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.