IgG Subclasses in Selective IgA Deficiency Importance of IgG2-IgA Deficiency

A SELECTIVE deficiency in IgA appears in about one in 700 persons. 1 Many of these persons are healthy, 2 but there is an increased frequency of infections, autoimmune disorders, atopy, and malabsorption syndromes in such subjects. 3 In an attempt to explain why some IgA-deficient patients have illn...

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Published inThe New England journal of medicine Vol. 304; no. 24; pp. 1476 - 1477
Main Authors Oxelius, Vivi-Anne, Laurell, Anna-Brita, Lindquist, Bertil, Golebiowska, Henryka, Axelsson, Uno, Björkander, Janne, Hanson, Lars Å
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 11.06.1981
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Abstract A SELECTIVE deficiency in IgA appears in about one in 700 persons. 1 Many of these persons are healthy, 2 but there is an increased frequency of infections, autoimmune disorders, atopy, and malabsorption syndromes in such subjects. 3 In an attempt to explain why some IgA-deficient patients have illnesses and others do not, we measured IgG subclasses in patients with selective IgA deficiency with and without disease. We found coexisting IgG2 deficiency in some of the diseased patients but not in the healthy subjects. Methods We obtained serum samples from 37 patients (22 children one to 14 years old and 15 adults) with . . .
AbstractList A SELECTIVE deficiency in IgA appears in about one in 700 persons.1 Many of these persons are healthy,2 but there is an increased frequency of infections, autoimmune disorders, atopy, and malabsorption syndromes in such subjects.3 In an attempt to explain why some IgA-deficient patients have illnesses and others do not, we measured IgG subclasses in patients with selective IgA deficiency with and without disease. Methods We obtained serum samples from 37 patients (22 children one to 14 years old and 15 adults) with selective IgA deficiency who were discovered during workup for various diseases, such as recurrent infections, autoimmune disorders, malabsorption syndromes, and allergic diseases. Selective IgG-subclass deficiency is known to result in recurrent infections.8 9 10 Patients wtih IgG-subclass deficiency profit from immunoglobulin prophylaxis.8, 9 Four of the seven patients with combined IgG2 and IgA deficiency and recurrent infections were treated with an immunoglobulin preparation containing little IgA, with apparent success and without adverse effects.
A SELECTIVE deficiency in IgA appears in about one in 700 persons. 1 Many of these persons are healthy, 2 but there is an increased frequency of infections, autoimmune disorders, atopy, and malabsorption syndromes in such subjects. 3 In an attempt to explain why some IgA-deficient patients have illnesses and others do not, we measured IgG subclasses in patients with selective IgA deficiency with and without disease. We found coexisting IgG2 deficiency in some of the diseased patients but not in the healthy subjects. Methods We obtained serum samples from 37 patients (22 children one to 14 years old and 15 adults) with . . .
Author Hanson, Lars Å
Oxelius, Vivi-Anne
Björkander, Janne
Laurell, Anna-Brita
Golebiowska, Henryka
Lindquist, Bertil
Axelsson, Uno
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References (r008) 1974; 17
(r007) 1979; 36
Steinberg (r010) 1973; 110
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Rockey (r002) 1964; 63
Oxelius (r004) 1978; 86
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Vyas (r011) 1969; 34
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  doi: 10.1111/j.1365-3083.1976.tb02987.x
– volume: 34
  start-page: 573
  year: 1969
  ident: r011
  publication-title: Blood
  doi: 10.1182/blood.V34.5.573.573
– ident: r009
  doi: 10.1056/NEJM197009172831205
– ident: r003
– ident: r006
– volume: 17
  start-page: 19
  year: 1974
  ident: r008
  publication-title: Clin Exp Immunol
– volume: 36
  start-page: 112
  year: 1979
  ident: r007
  publication-title: Clin Exp Immunol
– volume: 110
  start-page: 1642
  year: 1973
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  publication-title: J Immunol
  doi: 10.4049/jimmunol.110.6.1642
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  doi: 10.1111/j.1651-2227.1979.tb04424.x
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  doi: 10.1136/bmj.2.6142.923
– volume: 63
  start-page: 205
  year: 1964
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  publication-title: J Lab Clin Med
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  doi: 10.3109/00365516509077057
– volume: 86
  start-page: 109
  year: 1978
  ident: r004
  publication-title: Acta Pathol Microbiol Scand [C]
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Snippet A SELECTIVE deficiency in IgA appears in about one in 700 persons. 1 Many of these persons are healthy, 2 but there is an increased frequency of infections,...
A SELECTIVE deficiency in IgA appears in about one in 700 persons.1 Many of these persons are healthy,2 but there is an increased frequency of infections,...
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SubjectTerms Adolescent
Adult
Ataxia
Autoimmune diseases
Case reports
Child
Child, Preschool
Disease
Dysgammaglobulinemia - immunology
Humans
IgA Deficiency
IgG Deficiency
Immunoglobulin A
Immunoglobulin G
Immunoglobulins
Infant
Infections
Subtitle Importance of IgG2-IgA Deficiency
Title IgG Subclasses in Selective IgA Deficiency
URI http://dx.doi.org/10.1056/NEJM198106113042408
https://www.ncbi.nlm.nih.gov/pubmed/7231479
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