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Selective IgA deficiency: Clinical and immunological evaluation of 50 pediatric patients

โœ Scribed by G. R. Burgio; M. Duse; V. Monafo; A. Ascione; L. Nespoli


Publisher
Springer
Year
1980
Tongue
English
Weight
497 KB
Volume
133
Category
Article
ISSN
0340-6997

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โœฆ Synopsis


Fifty children with IgA deficiency were followed for 1 to 4 years from 1975 to 1978. Thirty-five had complete deficiency of serum IgA (< 2.5 IU/ml) and 15 partial deficiency (serum IgA below the 10th centile for age). Patients with another associated immunodeficiency, such as ataxia-telan giectasia, were not included. Most children with complete deficiency .of IgA had recurrent respiratory and/or gastrointestinal infections, about half with onset in the first year of life, while partial deficiency of IgA has probably little if any importance for anti-infectious immunity but is important in the pathogenesis of atopy. Atopic diseases were frequent in both groups. Chromosomal abnormalities Were found in 2 patients: trisomy 21 in one and in the other a ring chromosome 18. No important defects in cellular immunity were detected but some isolated, borderline abnormalities were often present.


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