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Serum Protein Electrophoresis (SPE) with Bromocresol Green (BCG) Staining

Published: August 9, 2026Updated: August 17, 2026

This test measures the distribution of different protein types in your blood serum, often used to identify abnormalities in protein patterns, such as those seen in conditions like multiple myeloma or liver disease.

Quick summary

["It helps doctors check for unusual protein levels that may signal underlying health concerns."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
66884-8
Short code
Skin Ab.IgG pattern Ser GP esoph-Imp
Synonyms
Skin Ab.IgG pattern Ser GP esoph-Imp
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
17
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
guinea-pig-esophagus-substrate
CPT
82784
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 This Test Measures

Electrophoresis separates blood proteins based on their size and electrical charge, creating bands that reflect protein types (e.g., albumin, globulins). Bromocresol Green staining highlights specific protein fractions, including albumin and globulin subgroups, to detect potential imbalances.

Why It’s Ordered

Your doctor may recommend this test if you have symptoms like unexplained weight loss, fatigue, or swelling, or if tests suggest conditions like kidney disease, liver problems, or certain cancers (e.g., multiple myeloma). It’s also used as a screening tool for hereditary disorders affecting proteins.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The serum (liquid part of blood without clots) is then separated and prepared for electrophoresis. The BCG dye binds to proteins, creating visible bands that are analyzed under special lighting.

What to Expect Before the Test

No special preparation is needed, but inform your doctor about any medications or conditions that might affect protein levels. Avoid strenuous activity 24 hours before the test if instructed.

Reference range

NCBI: NSE 0-17 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein patterns can indicate conditions like multiple myeloma (where abnormal proteins, such as monoclonal gammopathy, dominate), liver disease (reduced albumin), or kidney disease (increased globulins). Changes in band patterns may also signal hereditary disorders or immune system issues.

Short name

SPE with BCG

Frequently asked questions

What does a ‘spiked’ or unusual pattern mean?
A ‘spiked’ or irregular pattern often suggests an underlying condition like multiple myeloma or other monoclonal gammopathies, where one protein type appears excessively. Your doctor will discuss findings with you in detail and may recommend further testing.
How long does it take to get results?
Results are typically available within 24 to 48 hours, depending on lab processing times. Follow-up with your healthcare provider is needed to interpret results and plan next steps.
Can I eat or drink before this test?
No special diet is required, but avoid heavy meals or alcohol 24 hours before the test to ensure accurate results. Hydration is fine, but inform your doctor if you’re on blood thinners or have a history of clotting issues.
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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 17, 2026. · Read our editorial policy