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Serum or plasma protein electrophoresis (qualitative)

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

This test measures the different types of proteins in your blood using gel electrophoresis, a method that separates proteins based on size and charge. It helps identify abnormalities in protein distribution, which can indicate conditions like multiple myeloma, liver disease, or other disorders.

Quick summary

["This test helps doctors diagnose and monitor conditions affecting protein levels in your blood."]

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

Key facts at a glance

LOINC
109917-5
Short code
ENA SS-A Ab Msmt Fld
Synonyms
ENA SS-A Ab Msmt Fld
Category
chemistry
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?

Electrophoresis separates proteins into distinct bands based on their electrical charge and molecular weight. Common protein bands include albumin (fastest-moving), alpha globulins, beta globulins, and gamma globulins (slowest-moving). Abnormal patterns may suggest conditions like monoclonal gammopathy (e.g., multiple myeloma) or chronic liver disease.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like unexplained weight loss, fatigue, swollen lymph nodes, or signs of organ dysfunction. It’s also used to monitor treatment progress in certain cancers or autoimmune diseases.

How Is the Sample Collected?

A blood sample is drawn from a vein in your arm. The blood is then separated into serum (liquid part without clotting factors) or plasma (with clotting factors), depending on the lab’s protocol. No special preparation is needed, but fasting may be advised in some cases.

What Are Common Findings?

Normal results show a balanced distribution of protein bands. Abnormal findings may include a prominent band in the gamma region (indicative of monoclonal proteins), reduced albumin, or altered alpha/beta globulin ratios. These patterns can guide further testing or treatment planning.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a critical role in diagnosing conditions like multiple myeloma, where an abnormal protein (monoclonal spike) appears in the gamma region. It may also reveal liver disease (e.g., cirrhosis), where protein synthesis is impaired, or inflammatory diseases affecting protein production.

Short name

Protein Electrophoresis

Frequently asked questions

What does a ‘monoclonal spike’ on this test mean?
A monoclonal spike is an extra band in the gamma region that suggests the presence of a single type of abnormal protein produced by a clone of plasma cells. This is often linked to multiple myeloma or other plasma cell disorders and requires further evaluation, such as bone marrow biopsy.
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 during your follow-up visit.
Can I eat or drink before this test?
No special diet is required for this test, but check with your doctor or lab for any specific instructions, such as fasting for other related tests.
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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