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Case report: The utility of urine sulphosalicylic acid testing in the detection of non-albumin proteinuria


S Ndamase
R Freercks

Abstract

We report two cases of immunoglobulin light chain proteinuria (Bence Jones proteinuria) detected by simple side-room investigations: urine dipstick negative/1+, but with strong positive precipitation on addition of an equal volume of sulphosalicylic acid (SSA) 3%. We
highlight a significant limitation of urine dipstick testing, namely specificity for albumin, and the utility of SSA testing for the detection of urinary free light chain immunoglobulins.


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eISSN: 2078-5135
print ISSN: 0256-9574