title: Analyzing Relationship Between Monoclonal Gammopathy of Undetermined Significance (MGUS) with Different Types of Neuropathy: An Observational Study.
abstract: To analyze multiple variables, including immunoglobulin subtypes in patients with monoclonal gammopathy of undetermined significance (MGUS) and different types of neuropathy. This was a retrospective, single center study done in a tertiary care hospital in the United States. The data was collected for years 2001-2011. Inclusion criteria were the presence of MGUS and neuropathy. Exclusion criteria were the presence of other factors such as diabetes, vitamin B12 deficiency, alcoholism etc. which can cause neuropathy. Patients with IgM MGUS were compared with patients having Non-IgM MGUS. A total of 281 patients were analyzed in this study. The average age at the time of diagnosis of MGUS and neuropathy was 68 years. The most common type of neuropathy was sensorimotor peripheral neuropathy (46 %). The most common location of neuropathy was the lower extremities (68 %). Among our patients, 52 % had their neuropathy symptoms for 1-5 years before presenting to the clinic. When IgM MGUS was compared with Non-IgM MGUS, a statistically significant difference was found in terms of race (White vs. Others, OR 4.43, 95 % CI 2.13, 9.19, p < 0.001) and survival status (OR 1.98, 95 % CI 1.01, 3.90, p = 0.046). Patients with MGUS are prone to develop different types of neuropathies. Caucasians are more likely to have IgM MGUS as compared to other races. IgM MGUS is generally related to worse outcomes as compared to Non-IgM MGUS. Medical therapies, including gabapentin and pregabalin are effective treatments and the response rate can be as high as 80-90 % with these medications.
authors.affiliation: Department of Internal Medicine, Henry Ford Health System, 2799 W Grand Boulevard, CFP1, Detroit, MI 48202 USA.
authors.forename: Shahzaib
authors.identifier: 0000-0001-8331-2867
authors.initials: S
authors.lastname: Nabi
authors.affiliation: Department of Internal Medicine, Henry Ford Health System, 2799 W Grand Boulevard, CFP1, Detroit, MI 48202 USA.
authors.forename: Pushpinderdeep
authors.initials: P
authors.lastname: Kahlon
authors.affiliation: School of Medicine, Wayne State University, Detroit, MI USA.
authors.forename: Farshid
authors.initials: F
authors.lastname: Bozorgnia
authors.affiliation: Hamad Medical Corporation, Weill Cornell University, Doha, Qatar.
authors.forename: Adeel
authors.initials: A
authors.lastname: Arshad
authors.affiliation: Harper Hospital, Detroit, MI USA.
authors.forename: Akmam
authors.initials: A
authors.lastname: Saleem
authors.affiliation: Department of Hematology-Oncology, Henry Ford Health System, 2799 W Grand Boulevard, Detroit, MI USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Kuriakose
keywords: Gabapentin; Monoclonal gammopathy of undetermined significance; Neuropathy; Pregabalin