"IgG deficiency"

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                            1
                            Recurrent C. difficile in a Patient with IgG Deficiency IgG deficiency can predispose to recurrent pyogenic infections. The association of IgG deficiency with Clostridium difficile infection has been infrequently reported in the literature. We present a case of a middle-age woman with multiple hospitalizations for recurrent C. difficile in a short span of time which prompted consideration evidence of benefit. Our case report suggests that the patients who have underlying IgG deficiency may benefit from immunoglobulin, as this can significantly reduce the incidence of recurrent infections and hence save the healthcare costs.
                            2
                            2022Clinical Trials
                            Evaluation of an IgG Deficiency Rapid Screening Test: A Performance Study With Primary Immunodeficiency (PID) Patients in Tunisia To evaluate the usability and utility of the device, % agreement between the PID-RDT and the referent assay (serum/plasma), and % agreement between capillary blood and venous blood samples using the PID-RDT within confirmed PID patients prior to receipt
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                            3
                            2022INESSS (Quebec)
                            Review Analysis
                            Appears Promising
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                            immunodeficiencies).2. Before the prescription of Ig treatment, the patient must be investigated for a defect in the production of specific antibodies concurrent with the isolated IgG deficiency..IVIg or SCIg NOT RECOMMENDEDINDICATIONS „Selective IgA deficiency with a confirmed diagnosis „Kappa chain deficiency „Primary hemophagocytic lymphohistiocytosis „Autoimmune lymphoproliferative syndromes „Congenital
                            4
                            2020Medical Services Advisory Committee
                            Review Analysis
                            Appears Promising
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                            management of the underlying condition will in many cases reverse hypogammaglobulinaemia. However in some cases, it may persist and be complicated by recurrent or severe bacterial infections. Approximately 15 percent of patients who have received a solid organ (heart, lung, kidney) transplant experience secondary hypogammaglobulinaemia with severe IgG deficiency (<400mg/dL) during the first year after
                            5
                            2021INESSS (Quebec)
                            Review Analysis
                            Appears Promising
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                            , genetically or non-genetically characterized agammaglobulinemia, common variable immune deficiency, hyper-IgM syndrome, isolated primary IgG deficiency, LRBA or 2 CTL4A deficiency, WHIM syndrome and Good syndrome, hypogammaglobulinemia secondary to hematologic cancer, Kawasaki disease, acute immune thrombocytopenia, chronic immune thrombocytopenia, fetal or neonatal alloimmune thrombocytopenia, immune immunodeficiency, hyper-IgM syndrome, isolated primary IgG deficiency, LRBA or CTL4A deficiency, WHIM syndrome and Good syndrome. Conditions of use: – Yellow level: Priority use. Refer the patient to an immunologist. – Red level: Priority use. Lower the IgG target level to be achieved to the minimum as tolerated on a case-by-case basis and refer the patient to an immunologist. • Secondary
                            6
                            %) of 38 participants with neurocognitive outcomes scored lower than one SD on at least one neurocognitive outcome, three (7%) reported chronic medical conditions (spasmophilia, spastic diplegia, and IgG deficiency), and three (7%) were diagnosed with attention-deficit hyperactivity disorder (of whom two scored lower on attention). Of ten (23%) participants with lower neurocognitive score(s), a chronic
                            7
                            2024BMC Pulmonary Medicine
                            . However, no significant association was found between Ig concentrations, particularly serum IgG deficiency and its subclasses, with the frequency and risk of exacerbations during 12 months of longitudinal follow-up. Caution is warranted in the use of immunoglobulin therapy in the treatment of COPD patients. An independent ethics committee approved the study (Ethics Committee of Military Hospital 103
                            8
                            2024BMC Infectious Diseases
                            lavage with a cycling time of 30.1 COVID-19 due to long-shedding SARS-CoV-2 under immunosuppression with rituximab was diagnosed. He received treatment with nirmatrelvir und ritonavir and because of diagnosed IgG deficiency additionally a single dose of 20 g IVIG. During the IVIG infusion, the patient acutely developed tachycardia, hypotension, fever, chills, and hypoxemic respiratory failure due
                            9
                            The common variable immunodeficiency IgM repertoire narrowly recognizes erythrocyte and platelet glycans. Autoantibody-mediated cytopenias (AICs) regularly occur in profoundly IgG-deficient common variable immunodeficiency (CVID) patients. The isotypes, antigenic targets, and origin(s) of their disease-causing autoantibodies are unclear. To determine reactivity, clonality and provenance of AIC
                            10
                            2024Immunological reviews
                            and mice, immunoglobulin G (IgG) antibodies are the most potent anti-microbial antibody isotype due to their long half-life, their ability to penetrate almost all tissues and due to their ability to trigger a wide variety of effector functions. Of note, individuals suffering from IgG deficiency frequently produce self-reactive antibodies, suggesting that a normal serum IgG level also may contribute
                            11
                            Serum Immunoglobulin G Levels Are Associated with Risk for Exacerbations: An Analysis of SPIROMICS. Serum Immunoglobulin G (IgG) deficiency is associated with morbidity in chronic obstructive pulmonary disease (COPD) but it is unclear whether concentrations in the lower end of the normal range still confer risk. To determine if levels above traditional cutoffs for serum IgG deficiency
                            12
                            in Boston with IgA and/or IgG deficiency (group A) or normal IgA and IgG (group B) were queried between January 1, 2016 and December 31, 2022. Other immunodeficiencies were excluded. The groups were analyzed for prevalence of CRS based on ICD-10 codes. The groups were matched based on demographics and comorbidities. Patients with CRS were analyzed for ≥3 acute rhinosinusitis (ARS) episodes, mean lifetime ARS episodes, and mean ARS episodes per year (all with or without antibiotic treatment). Additional analyses included need for functional endoscopic sinus surgery (FESS) and mean lifetime FESS procedures based on CPT codes. A logistic regression analysis was then performed over the same parameters. A total of 346 patients had IgA and/or IgG deficiency (group A), and 11,438 patients had normal IgA
                            15
                            2022Asthma & Immunology
                            a total of 15 adults: normal controls (n = 8), patients with CVID on IVIG replacement (n = 2), patients on IVIG replacement for recurrent infections who did not meet diagnostic criteria for CVID, considered IgG deficiency (n = 2), and patients without immunodeficiency on high-dose IVIG for other diagnosis (n = 3). We measured P23 serotype-specific IgG before and 4 weeks after P23 and ELISPOT ASCs before
                            16
                            2021Respiratory research
                            exacerbation (multivariable hazard ratio 1.03 per 200 ng/ml increase (95% confidence interval (CI) 1.00-1.06), p = 0.048), whereas ficolin-2 and IgG deficiency were not associated. The risk was most pronounced in patients with high MBL concentrations, IgG deficiency and 14 days of glucocorticoid treatment pointing towards an interactive effect of MBL and IgG deficiency in the presence of prolonged glucocorticoid treatment duration [Relative excess risk due to interaction 2.13 (95% CI - 0.41-4.66, p = 0.10)]. IgG concentrations were significantly lower in patients with frequent re-exacerbations (IgG, 7.81 g/L vs. 9.53 g/L, p = 0.03). MBL modified the short-term exacerbation risk after a recent acute exacerbation of COPD, particularly in the setting of concurrent IgG deficiency and recent prolonged
                            17
                            2020BMC Neurology
                            findings showed an IgG deficiency. Initially no pathogen could be detected, but after 4 days Cryptococcus neoformans was found in the patient's blood cultures leading to the diagnosis of cryptococcal meningoencephalitis. After antimycotic therapy, her symptoms improved and the patient was discharged. MS patients on immunomodulatory  therapy are at constant risk for opportunistic infections. Cephalgia
                            18
                            2020Medscape
                            sarcoidosis]. Pneumonol Alergol Pol. 2009. 77(1):91-6. [QxMD MEDLINE Link]. 43. Filion CA, Taylor-Black S, Maglione PJ, Radigan L, Cunningham-Rundles C. Differentiation of Common Variable Immunodeficiency From IgG Deficiency. J Allergy Clin Immunol Pract. 2019 Apr. 7 (4):1277-1284. [QxMD MEDLINE Link]. 44. Lawrence MG, Palacios-Kibler TV, Workman LJ, Schuyler AJ, Steinke JW, Payne SC
                            19
                            2019Respiratory medicine
                            for BE if it had been diagnosed earlier than BE. As 41% BE were idiopathic, in 11% the disorder was postinfectious and others were associated to rheumatic disease, Alpha-1-antitrypsin deficiency, IgG deficiency and Kartagener syndrome. The most common co-morbidities in addition to asthma were cardiovascular disease (30%), gastroesophageal reflux disease (26%), overweight (22%), diabetes (16%), inactive neoplasia
                            20
                            2018Journal of Asthma
                            ) guidelines, and bronchiectasis was ruled out by a CT chest scan. Two men (aged 28 and 60) presented with pollen allergies, chronic rhinosinusitis, and IgG deficiency (7.8 and 7.6 g/L, respectively). Both patients underwent surgery for nasal polyposis but relapsed with acute sinusitis and severe asthma exacerbations requiring treatment with oral corticosteroids and antibiotics. The immunoglobulin replacement therapy (IRT) partially relieved the asthma by reducing the number of exacerbations. A 55-year-old woman presented with nonallergic, corticosteroid-dependent asthma (20 mg/day prednisone) and IgG deficiency (5.72 g/L). IRT improved asthma control (fall in the Asthma Control Questionnaire (ACQ)-7 score from 3.5 to 1.7) and enabled withdrawal of the corticosteroids. In a 47-year-old woman