Document Detail


Clinical and laboratory evaluation of periodically monitored Turkish children with IgG subclass deficiencies.
MedLine Citation:
PMID:  19548629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
IgG subclass deficiencies are common immune system disorders during childhood. The aim of this retrospective study was to review clinical findings and laboratory results of patients with IgG subclass deficiencies in order to determine the changes in serum IgG subclass levels during follow-up, the percentage and time span until normalization of the IgG subclass levels to age-corresponding normal levels, the type of infections incurred and the benefits of prophylaxis. Among the 59 pediatric patients reviewed, the most frequent defect was an IgG3 subclass deficiency (77%). Nine percent of the patients had an isolated IgG2 deficiency and 14% had an IgG2+G3 deficiency. The most common clinical presentations were recurrent upper respiratory tract infections, followed by pneumonia, acute gastroenteritis and urinary tract infections. Atopy was present in 15% of the patients. Ninety percent of the patients were given a prophylactic treatment (benzathine penicillin, oral antibiotics, oral bacterial lysate or intravenous immunoglobulin). The frequency of recurrent infections decreased from 13.4 +/- 7.4 per year to 5.7 +/- 3.9 in patients receiving a prophylactic regimen. Serum IgG subclass levels reached normal ranges in 30% of the patients in the IgG3 deficiency group and in 35.7% of the patients in the IgG2+G3 deficiency group. Patients with an isolated IgG2 deficiency did not reach age-related normal levels during the study period. Our study shows that IgG subclass levels may normalize in 30 to 40% of patients at about 6 years of age. We emphasize the need of monitoring IgG levels together with the clinical symptomatology in affected individuals and initiate preventive measures when appropriate.
Authors:
Neslihan Edeer Karaca; Cem Karadeniz; Guzide Aksu; Necil Kutukculer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian Pacific journal of allergy and immunology / launched by the Allergy and Immunology Society of Thailand     Volume:  27     ISSN:  0125-877X     ISO Abbreviation:  Asian Pac. J. Allergy Immunol.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-06-24     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402034     Medline TA:  Asian Pac J Allergy Immunol     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  IM    
Affiliation:
Ege University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Immunology, Izmir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Female
Humans
IgG Deficiency / blood*,  epidemiology,  immunology,  therapy
Immunoglobulin G / blood*,  immunology
Infant
Male
Monitoring, Physiologic / methods*
Turkey / epidemiology
Chemical
Reg. No./Substance:
0/Immunoglobulin G

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