
Background: Kappa free light chains (k-FLC) in the cerebrospinal fluid (CSF) are an emerging biomarker in multiple sclerosis (MS). Objective: To investigate whether k-FLC index has similar diagnostic value in patients with primary progressive multiple sclerosis (PPMS) compared to oligoclonal bands (OCB). Methods: Patients with PPMS were recruited through 11 MS centres across 7 countries. k-FLC were measured by immunonephelometry/-turbidimetry. OCB were determined by isoelectric focusing and immunofixation. Results: A total of 174 patients (mean age of 52±11 years, 51% males) were included. k-FLC index using a cut-off of 6.1 was positive in 161 (93%) and OCB in 153 (88%) patients. Conclusion: k-FLC index shows similar diagnostic sensitivity than OCB in PPMS.
primary progressive, diagnosis, kappa free light chain, multiple sclerosis,, sensitivity, cerebrospinal fluid
primary progressive, diagnosis, kappa free light chain, multiple sclerosis,, sensitivity, cerebrospinal fluid
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