<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with OASIS Tables with MathML3 v1.1 20151215//EN" "JATS-archive-oasis-article1-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:oasis="http://www.niso.org/standards/z39-96/ns/oasis-exchange/table" id="jvim16540" dtd-version="1.1" xml:lang="en" article-type="case-study" specific-use="VoR">
<front>
<journal-meta>
<journal-id journal-id-type="doi">10.1111/(ISSN)1939-1676</journal-id>
<journal-id journal-id-type="publisher-id">JVIM</journal-id>
<journal-title-group>
<journal-title xml:lang="en">Journal of Veterinary Internal Medicine</journal-title>
<abbrev-journal-title abbrev-type="publisher" xml:lang="en">J Vet Intern Med</abbrev-journal-title>
</journal-title-group>
<issn publication-format="ppub">0891-6640</issn>
<issn publication-format="epub">1939-1676</issn>
<publisher>
<publisher-name>John Wiley &amp; Sons, Inc.</publisher-name>
<publisher-loc>Hoboken, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.1111/jvim.16540</article-id>
<article-id pub-id-type="publisher-id">JVIM16540</article-id>
<article-categories>
<subj-group subj-group-type="overline" xml:lang="en">
<subject>CASE REPORT</subject>
</subj-group>
<subj-group subj-group-type="heading" xml:lang="en">
<subject>CASE REPORTS</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="en">Spurious laboratory results associated with immunoglobulin M gammopathy in a dog with multiple myeloma</article-title>
<alt-title alt-title-type="left-running-head">Loane et al.</alt-title>
</title-group>
<contrib-group>
<contrib id="jvim16540-cr-0001" contrib-type="author" corresp="yes">
<name>
<surname>Loane</surname>
<given-names>Samantha C.</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3697-5198</contrib-id>
<email>samantha.loane@outlook.com</email>
<xref ref-type="corresp" rid="correspondenceTo">*</xref>
<xref ref-type="aff" rid="jvim16540-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="jvim16540-cr-0002" contrib-type="author">
<name>
<surname>Castillo</surname>
<given-names>Daniel A.</given-names>
</name>
<xref ref-type="aff" rid="jvim16540-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="jvim16540-cr-0003" contrib-type="author">
<name>
<surname>Peschard</surname>
<given-names>Anne‐Lorraine D. M.</given-names>
</name>
<xref ref-type="aff" rid="jvim16540-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="jvim16540-cr-0004" contrib-type="author">
<name>
<surname>Hall</surname>
<given-names>Harriet R.</given-names>
</name>
<xref ref-type="aff" rid="jvim16540-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="jvim16540-cr-0005" contrib-type="author">
<name>
<surname>Kortum</surname>
<given-names>Andre J.</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9760-733X</contrib-id>
<xref ref-type="aff" rid="jvim16540-aff-0001">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="jvim16540-aff-0001">
<label>
<sup>1</sup>
</label>

<named-content content-type="organisation-division">Department of Veterinary Medicine</named-content>

<institution>University of Cambridge</institution>

<city>Cambridge</city>
 <named-content content-type="country-part">Madingley Road</named-content>
 <country country="GB">United Kingdom</country>

</aff>
<author-notes>
<corresp id="correspondenceTo"><label>*</label>

<bold>Correspondence</bold><break/>
Samantha C. Loane, Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, United Kingdom.<break/>
Email: <email>samantha.loane@outlook.com</email>
<break/>

</corresp>
</author-notes>
<pub-date date-type="pub" publication-format="electronic"><day>20</day>
<month>09</month>
<year>2022</year>
</pub-date><fpage/><lpage/><history>

<date date-type="received">
<day>30</day>
<month>04</month>
<year>2022</year>
</date>

<date date-type="accepted">
<day>31</day>
<month>08</month>
<year>2022</year>
</date>

</history>
<permissions>
<copyright-statement content-type="issue-copyright">© 2022 American College of Veterinary Internal Medicine</copyright-statement>
<copyright-statement content-type="article-copyright">© 2022 The Authors. <italic>Journal of Veterinary Internal Medicine</italic> published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>© 2022 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.</copyright-holder>
<license>
<ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open access article under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution</ext-link> License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract xml:lang="en" abstract-type="main">
<title>Abstract</title>
<p xml:lang="en">An 11 year old female‐neutered Labrador presented for facial swelling. Clinicopathological abnormalities included hyperglobulinemia, azotemia, hypercalcemia, nonregenerative anemia, thrombocytopenia, and spurious hypoglycemia. Normoglycemia was subsequently confirmed using a cage‐side analyzer (AlphaTRAK, Zoetis, UK). Serum and urine protein electrophoresis documented monoclonal (immunoglobulin M) gammopathy with Bence‐Jones proteinuria. Computed tomography imaging revealed a monostotic osteolytic bone‐lesion, and bone marrow cytology and histopathology documented plasmacytosis with multiple myeloma oncogene 1 / interferon regulatory factor 4 positivity, consistent with multiple myeloma. Infectious disease testing initially indicated seropositivity for <italic toggle="no">Leishmania</italic>, <italic toggle="no">Borrelia</italic>, and <italic toggle="no">Anaplasma</italic> spp.; however, <italic toggle="no">Leishmania</italic> PCR (splenic and bone marrow aspirates), and paired serological titers for <italic toggle="no">Borrelia</italic> and <italic toggle="no">Anaplasma</italic> were negative. Consequently, initial serological results were considered to be false positive because of paraproteinemia‐associated assay interference. Chemotherapy (prednisolone and melphalan combination therapy) was initiated, but the dog was euthanased 30 days later because of the development of pericardial effusion. This is a report of spurious serological (and other laboratory) results occurring secondary to monoclonal gammopathy in a dog.</p>
</abstract>
<kwd-group kwd-group-type="author-generated" xml:lang="en">
<kwd id="jvim16540-kwd-0001">false‐positive</kwd>
<kwd id="jvim16540-kwd-0002">hypoglycemia</kwd>
<kwd id="jvim16540-kwd-0003">paraprotein</kwd>
<kwd id="jvim16540-kwd-0004">serology</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="0"/>
<page-count count="6"/>
<word-count count="4562"/>
</counts>
</article-meta>
</front>
</article>