Waldenström’s macroglobulinaemia (also known as lymphoplasmacytic lymphoma) is a rare form of low-grade lymphoma (a type of bone marrow cancer), which is associated in most cases with the presence of an excessive amount of abnormal protein (called “paraprotein” or “M-protein”) in the blood. Due to the rarity of the condition, UCLH has the largest referral practice in the UK for this condition and IgM associated disorders.

Significant conditions

IgM monoclonal protein may be associated with a number of conditions (known as IgM monoclonal gammopathies of clinical significance, or IgM-associated disorders). These IgM monoclonal gammopathies of clinical significance are:

  • Cold Agglutinin Disease (CAD)
  • Paraprotein-associated neuropathies, including anti-MAG neuropathy
  • Cryoglobulinaemia
  • IgM associated renal impairment
  • IgM associated acquired bleeding disorders
  • IgM associated AL amyloidosis
  • Schnitzler syndrome.

Paraprotein-associated or Paraproteinaemic neuropathy is a condition affecting the peripheral nerves, associated with the presence of a protein in the blood known as a paraprotein. The Joint Neuropathy Clinic, held weekly at the National Hospital for Neurology and Neurosurgery, together with Professor Michael Lunn, Consultant Neurologist with a specialist interest in inflammatory neuropathies, provides multi-specialist input for patients with this condition.

Neurohaematology service

Bing-Neel syndrome and paraprotein-associated neuropathy are conditions affecting the central or peripheral nervous system, associated with the presence of a protein in the blood known as a paraprotein. The Joint Neuropathy Clinic, held weekly at the National Hospital for Neurology and Neurosurgery, together with Professor Michael Lunn, Consultant Neurologist with a specialist interest in inflammatory neuropathies and central nervous system involvement by WM (Bing-Neel Syndrome) providing multi-specialist input for patients with this condition.


Please refer to our recently published article on the diagnosis and management of IgM MGCS: Khwaja J, D'Sa S, Minnema MC, Kersten MJ, Wechalekar A, Vos JM. IgM monoclonal gammopathies of clinical significance: diagnosis and management. Haematologica. 2022 Sep 1;107(9):2037-2050. doi: 10.3324/haematol.2022.280953

Useful links: WMUK Charity

Other contact information

For any Haematology queries, please call the Haematology Helpline. 

Haematology Helpline: 020 3447 7359 (9am - 5pm Mon-Fri, except bank holidays)

For urgent medical advice, UCLH Haematology patients may call the out of hours line. Please note this line is for UCLH patients only. Medical professionals should call the general enquiries line for any patient-related queries.

Out of Hours (Urgent Medical Advice): 07852 220900 (After 5pm Mon-Fri, weekends and bank holidays)

 

Address

Outpatients: 
Outpatient Clinic
University College Hospital Macmillan Cancer Centre
Huntley Street
London WC1E 6AG
 
Inpatients:
Grafton Way Building 
Inpatient Wards: GWB L02 East, L02 North, L03 East, L03 North, L04 East
1 Grafton Way
London
WC1E 6AS

University College Hospital
Inpatient Ward: T16
235 Euston Road
NW1 2BU

Other referral information

For more information about the Neuroimmunology Lab at the National Hospital for Neurology & Neurosurgery (NHNN) regarding specialist blood and CSF samples (e.g. VEGF) please visit our Neuroimmunology page.  

Referral address

WM Team
Department of Haematology
UCLH
3rd Floor West
250 Euston Road 
London, NW1 2PG