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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 a technique called electrophoresis. It helps identify abnormalities in protein distribution that may signal conditions like multiple myeloma, liver disease, or other disorders.

Quick summary

["Electrophoresis helps doctors spot unusual protein patterns that could indicate hidden health issues."]

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

Key facts at a glance

LOINC
112038-5
Short code
Exam info UGI Endscpy
Synonyms
Exam info UGI Endscpy
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
endoscopy
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 the Test Measure?

Electrophoresis separates blood proteins into fractions based on their electrical charge. Common protein bands include albumin (fastest-moving), alpha-globulins, beta-globulins, and immunoglobulins (slowest-moving). Abnormal bands or shifts may indicate conditions like chronic inflammation, infections, or genetic disorders.

Why Might You Need This Test?

Your doctor may order this test to investigate symptoms like unexplained weight loss, fatigue, swelling, or signs of organ dysfunction. It’s also used in screening for conditions like multiple myeloma, liver disease, or autoimmune disorders.

How Is the Test Performed?

A blood sample is drawn, and the serum or plasma is placed in a gel medium. An electric current is applied, causing proteins to migrate toward the opposite charge. After staining, bands are visible under light, showing protein distribution.

What Are Common Findings?

Normal results show distinct bands with balanced protein distribution. Abnormal findings may include: - **Monoclonal spikes** (e.g., M-protein) in multiple myeloma or Waldenström macroglobulinemia. - **Reduced albumin** (e.g., nephrotic syndrome, liver disease). - **Increased alpha-2 or beta-globulins** (e.g., chronic inflammation, infections).

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Electrophoresis is critical for diagnosing and monitoring conditions affecting protein synthesis or breakdown. Monoclonal gammopathy (e.g., M-protein) is a hallmark of plasma cell disorders, while hypoalbuminemia may signal malnutrition, kidney disease, or liver failure. Early detection improves treatment planning.

Short name

Protein Electrophoresis

Frequently asked questions

What does a ‘spike’ or ‘band’ on the test mean?
A spike or unusual band could indicate a monoclonal protein (e.g., from multiple myeloma) or other conditions like liver/kidney disease. Your doctor will interpret results in context with your symptoms and other tests.
How often should I get this test?
Frequency depends on your health. If you have a known condition (e.g., multiple myeloma), your doctor may recommend regular monitoring. Otherwise, it’s usually ordered as needed for symptoms or diagnostic evaluation.
Can diet or medications affect this test?
Dietary changes (e.g., high-protein intake) or certain medications (e.g., steroids) may influence protein levels. Always inform your doctor about all medications or supplements you’re taking before the test.
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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