Low IgG subclass levels in brittle asthma and in patients with exacerbations of asthma associated with respiratory infection - 11/09/11
Abstract |
Serum total immunoglobulin (G, A, M and E) and IgG subclass levels were studied in 23 patients with brittle asthma, 23 age- and sex-matched patients with mild asthma and 33 patients with recurrent infective exacerbations of their asthma. Patients with brittle asthma showed significantly reduced levels of IgG (mean ± SD, 8·8 ± 3·3 g l−1) compared to patients with mild asthma (11·0 ± 2·5 g l−1) (P<0·008) with further significant reductions in the brittle compared to the mild group in IgG1 (5·2 vs 6·3, P=0·035), IgG2 (2·4 vs 3·25, P<0·006), IgG3 (0·39 vs 0·55, P<0·05) and IgA (1·91 vs 2·38, P<0·03). There were no significant differences between the brittle group and the group with recurrent infective exacerbations for any parameter, but the latter group showed significantly reduced levels of IgG (8·2, P<0·001), IgG1 (4·9, P<0·00001) and IgG2 (2·5, P<0·02) compared to the mild group. In all groups, there was no relationship between dose of inhaled steroids and levels of any antibody. These findings suggest that the presence of a mild degree of humoral immunodeficiency relates to severity of asthma, and suggests that immunoglobulin replacement therapy may be appropriate in patients with the more severe forms of asthma.
Le texte complet de cet article est disponible en PDF.Vol 91 - N° 8
P. 464-469 - septembre 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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