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I wonder if my autoimmune inflammatory arthritis AS made me more susceptible to smoldering myeloma . My brain injury also makes me immune compromised. I always assumed my kappa protein was from the chemicals I used working as a microbiologist for 30 years

August 5
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MyMyelomaTeam

These are really thoughtful questions, and it makes sense to want to understand what may have contributed to your smoldering myeloma diagnosis. The honest answer is: it could be a combination of several factors, and research suggests each of the things you've mentioned may have played a role.

Ankylosing Spondylitis (AS) Show Full Answer

These are really thoughtful questions, and it makes sense to want to understand what may have contributed to your smoldering myeloma diagnosis. The honest answer is: it could be a combination of several factors, and research suggests each of the things you've mentioned may have played a role.

Ankylosing Spondylitis (AS) and Myeloma Risk

AS is one of the autoimmune conditions that research has specifically flagged as a potential risk factor. Studies have found that having AS can increase the risk of developing myeloma by as much as 2.3 times compared to the general population. This is thought to be linked to the chronic inflammatory response that AS triggers in the body, which may encourage abnormal plasma cell growth over time. Chemical Exposure as a Risk Factor

Your instinct about chemical exposure isn't wrong either. Working as a microbiologist for 30 years, potentially around carcinogenic chemicals like benzene or pesticides, is recognized as a risk factor for myeloma. So your kappa protein levels could indeed have been influenced by occupational exposure. A Weakened Immune System

A compromised immune system — from any cause — may allow abnormal plasma cells to grow more freely, which is part of how myeloma can develop. This adds another layer to your situation.

The Likely Reality

The truth is, myeloma rarely has a single cause. In your case, it may well be a combination of:

- Chronic inflammation from AS
- Long-term chemical exposure in your career
- An immune system that has faced additional challenges

Discussing this history with your hematologist or oncologist is really worthwhile — understanding your specific risk factors can help shape how your smoldering myeloma is monitored and managed going forward.

August 5

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