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Light Chain Disease is
a type of plasma cell disorder in which abnormal plasma cells produce
excessive amounts of immunoglobulin light chains instead of complete
antibodies. These light chains circulate in the bloodstream and may accumulate
in organs, particularly the kidneys, leading to significant tissue
damage. The condition is commonly associated with multiple myeloma but can also
occur independently. Because free light chains are filtered through the
kidneys, they may cause kidney impairment, proteinuria, or even kidney
failure if left untreated.
Common symptoms include fatigue,
bone pain, frequent infections, unexplained weight loss, excessive thirst,
and reduced kidney function. Some patients may also experience anaemia,
hypercalcaemia, or fractures due to bone involvement. Diagnosis involves blood
and urine tests to detect free light chains, serum protein
electrophoresis, immunofixation, bone marrow biopsy, and imaging
studies to evaluate bone lesions.
Treatment depends on the
severity and underlying cause but often includes chemotherapy, targeted
therapy, immunotherapy, corticosteroids, and, in eligible patients, stem
cell transplantation. Supportive care such as hydration, kidney protection,
and medications to strengthen bones may also be required. Early diagnosis and
prompt treatment can reduce complications, preserve organ function, improve
quality of life, and enhance long-term outcomes for individuals living with Light
Chain Disease.