High frequency of MGUS in DSP

摘要

Abstract Introduction : Monoclonal gammopathy has been reported in several polyneuropathies . I n this study, we sought to explore the frequency and characteristics of monoclonal gammopathy in patients with diabetic sensorimotor polyneuropathy (DSP) . M ethods : P atients with type 1 and type 2 diabetes mellitus (DM 1, DM 2) and controls without diabetes were evaluated between N ovember 2008 and D ecember 2013 . Results : Fifty controls, 66 patients with DM 1 , and 106 patients with DM 2 were included, with average ages of 43?±?18, 45?±?17, and 65?±?10 years, respectively; the frequency of monoclonal gammopathy was 0%, 8%, and 15%, respectively. I n patients with DSP, the frequency of monoclonal gammopathy increased to 14% in DM 1 and 21% in DM 2 ; the most common monoclonal proteins were immunoglobulin (Ig) M and IgG, respectively. Discussion : DSP might be associated with a high frequency of monoclonal gammopathy, with different characteristics in DM 1 and in DM 2. Muscle Nerve 57 : 1018–1021, 2018