Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

HIV-Related Oligoclonal Paraproteinemia

Albert A. Keshgegian, MD, PhD
JAMA. 1987;257(7):927-928. doi:10.1001/jama.1987.03390070047014.
Text Size: A A A
Published online


To the Editor.—  Kouns et al1 recently reported the presence of oligoclonal banding in the serum of patients with antibody to the human immunodeficiency virus (HIV). They state that such a finding is rare in other patients and suggest demonstration of oligoclonal banding as a surrogate test for HIV exposure.Although the association between oligoclonal banding and antibody to HIV is an interesting one, I do not believe that the authors' suggestion of oligoclonal banding as a diagnostic test is valid. Oligoclonal banding in serum is not rare. Small homogeneous bands in the γ-globulin region, often multiple, can be detected by high-resolution agarose gel electrophoresis in the serum of a substantial number of hospitalized patients.2 The bands occur most commonly (62%) in patients with an increased γ-globulin concentration and with an acute-phase response. The presence of such bands does not correlate with age, sex, or medical diagnosis; it


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.