Document Detail


Rapid subcutaneous IgG replacement therapy at home for pregnant immunodeficient women.
MedLine Citation:
PMID:  11332654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of slow or rapid, subcutaneous, IgG (SCIG) infusions in pregnant women with primary antibody deficiencies has been described earlier, though only in single-case reports. In this study, we have evaluated the effect of rapid, SCIG infusions during 11 pregnancies in nine women [six women with common variable immunodeficiency (CVID), two with IgG-subclass deficiencies, and one with combined IgA and IgG2 deficiency]. The weekly infusions were given by the women themselves at a dose of 100 mg/kg/week throughout the pregnancy. No adverse systemic reactions or pronounced, local tissue reactions were recorded during or after the more than 400 infusions. The 11 babies were healthy and were born after 38-42 weeks of uneventful gestation. The concentrations of maternal S-IgG at the time of delivery in the four women with CVID ranged from 6.0 to 8.3 g/L, with cord/maternal S-IgG ratios of 1.0-1.5. The IgG subclasses were transferred to the infants. The SCIG home-therapy regime was greatly appreciated by the women.
Authors:
A Gardulf; E Andersson; M Lindqvist; S Hansen; R Gustafson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical immunology     Volume:  21     ISSN:  0271-9142     ISO Abbreviation:  J. Clin. Immunol.     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-05-02     Completed Date:  2001-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8102137     Medline TA:  J Clin Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  150-4     Citation Subset:  IM    
Affiliation:
Department of Immunology, Microbiology and Pathology, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden. ann.gardulf@immunlab.hs.sll.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Common Variable Immunodeficiency / drug therapy*,  immunology
Female
Humans
Immunoglobulin G / administration & dosage*,  immunology
Injections, Subcutaneous
Pregnancy
Pregnancy Complications / drug therapy*,  immunology
Pregnancy Outcome
Chemical
Reg. No./Substance:
0/Immunoglobulin G

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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