Elevated CSF free kappa light chains correlate with disability prognosis in multiple sclerosis.

Rinker, John R; Trinkaus, Kathryn; Cross, Anne H · Neurology · 2006

retrospective_cohort · Level III

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Abstract

Elevated CSF free kappa light chains (FKLCs) may predict disability in multiple sclerosis (MS). We reviewed records of 57 patients with MS with 15-year median follow-up for correlations of disability and CSF FKLCs. Levels > or = 1.53 microg/mL predicted progression to need for ambulatory assistance during follow-up (specificity 87.5%, positive predictive value 88.9%) or within 10 years (specificity 78.6%, positive predictive value 66.7%).

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