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Serum Protein Electrophoresis (Qualitative)

Published: August 9, 2026Updated: August 16, 2026

This test measures the different types of proteins in your blood serum, helping identify abnormalities in protein distribution that may signal conditions like multiple myeloma, liver disease, or other disorders.

Quick summary

["This simple blood test helps doctors spot protein imbalances that could indicate serious health issues."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
13156-5
Short code
Deprecated S pneum14 Ab 2:1 Ser-Rto
Synonyms
Deprecated S pneum14 Ab 2:1 Ser-Rto
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

Serum protein electrophoresis separates blood proteins into fractions (e.g., albumin, globulins) using an electric field. This helps detect unusual protein patterns, such as monoclonal spikes (seen in multiple myeloma) or elevated globulins (linked to chronic inflammation or infections).

Why Might Your Doctor Order This Test?

Your doctor may recommend this test if you have symptoms like unexplained weight loss, fatigue, frequent infections, or signs of organ dysfunction. It’s also used in monitoring conditions like multiple myeloma, lymphoma, or liver/kidney disease.

How Is the Test Performed?

A small blood sample is drawn from your arm. The serum portion is separated and placed on a gel. An electric current runs through the gel, causing proteins to migrate based on size and charge. A dye stains the proteins, revealing their distribution.

What Are Common Findings?

Normal results show a balanced distribution of albumin (fast-moving) and globulins (slower-moving). Abnormal findings may include a single, sharp peak (monoclonal spike), broad bands (e.g., alpha-2 or beta globulins), or reduced albumin levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein patterns can indicate underlying diseases, such as monoclonal gammopathy (e.g., multiple myeloma), chronic inflammation, liver disease, or autoimmune disorders. Early detection may guide treatment decisions.

Short name

Q Serum Protein Electrophoresis

Frequently asked questions

What does a ‘monoclonal spike’ mean?
A monoclonal spike is an unusual, sharp peak on the electrophoresis result. It suggests the presence of an abnormal protein produced by a clone of plasma cells (common in multiple myeloma or other plasma cell disorders).
How long does it take to get results?
Results are typically available within 24 to 48 hours, depending on lab processing times. Your doctor will discuss the findings with you.
Can diet or medications affect this test?
Dietary changes or certain medications (e.g., steroids, chemotherapy) may influence protein levels. Your doctor may ask about recent medications or dietary habits before testing.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy