Abstract
Hypergammaglobulinemia is the pathological increase in serum proteins of the γ-globulin type. There are two basic causes. A monoclonal gammopathy results from the clonal proliferation of a single B cell. The abnormal protein is called M (monoclonal) or paraprotein. The diseases associated with such a clonal proliferation have also been called plasma cell dys-crasias, immunoglobulinopathies or dysproteinemias. In contrast, in a polyclonal gammopathy, a number of different B cells are stimulated, producing a mixture of abnormal proteins. In most instances, a polyclonal gammopathy reflects an associated lupus erythematosus, rheumatoid arthritis, sarcoidosis or Sjögren syndrome. Chronic infections with repeated but variable antigenic stimulation can produce a similar picture. Only a few polyclonal gammopathies are clinically distinct.
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Braun-Falco, O., Plewig, G., Wolff, H.H., Burgdorf, W.H.C. (2000). Gammopathies. In: Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97931-6_40
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DOI: https://doi.org/10.1007/978-3-642-97931-6_40
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