Journals / Turkish Journal of Pediatrics / 2015 / Cilt: 57 - Sayı: 6

Transient hypogammaglobulinemia of infancy: predictive factors for late recovery

Pages
592–598
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Breastfeeding should be encouraged and IVIG should be used in well selected patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:SUMMARY: Sütçü M, Aktürk H, Salman N, Özçeker D, Gülümser-Şişko S, Acar M, Somer A.
📊
Key Findings & Data:Turk J Pediatr 2015; 57: 592-598.
💡
Conclusion & Impact:Breastfeeding should be encouraged and IVIG should be used in well selected patients.
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

SUMMARY: Sütçü M, Aktürk H, Salman N, Özçeker D, Gülümser-Şişko S, Acar M, Somer A. Transient hypogammaglobulinemia of infancy: predictive factors for late recovery. Turk J Pediatr 2015; 57: 592-598. This study evaluates the clinical/immunological features and outcomes of 91 patients with the diagnosis of transient hypogammaglobulinemia of infancy(THI). Mean age at diagnosis was 8.4±5.2 months. IgG levels normalized at 30.6±11.88 months. Sixty three patients (69.3%) resolved in their first 3 years of life and 28 patients (30.7%) thereafter. In the univariate analysis, presence of atopy, occurrence of recurrent infections (>6/year) and hospitalization, initial low IgA and IgM levels were found to be associated with the late recovery. Patients with longer breastfeeding duration recovered earlier. Recovery time for Ig levels was found to be longer in patients who received IVIG (n=55, 60.4%). This study confirmed that delayed resolution in THI is not rare. Frequent infections, initial low IgA and/or IgM levels and presence of atopy were found as associated factors for the late recovery. Breastfeeding should be encouraged and IVIG should be used in well selected patients.

🔖

Cite This Article

SÜTÇÜ, M., GÜLÜMSER-ŞİŞKO, S., ACAR, M., ÖZÇEKER, D., SALMAN, N., SOMER, A., AKTÜRK, H. (2022). Transient hypogammaglobulinemia of infancy: predictive factors for late recovery. Turkish Journal of Pediatrics, Cilt: 57 - Sayı: 6, 592–598. https://ajindex.com/articles/613255

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Driessen G, van der Burg M. Educational paper: primary antibody deficiencies. Eur J Pediatr 2011; 170: 693-702
  2. Kiliç SS, Tezcan I, Sanal O, Metin A, Ersoy F. Transient hypogammaglobulinemia of infancy: clinical and immunologic features of 40 new cases. Pediatr Int 2000; 42: 647-650
  3. Ballow M. Primary immunodeficiency disorders: antibody deficiency. J Allergy Clin Immunol 2002; 109: 581-591
  4. Picard C, Al-Herz W, Bousfiha A, et al. Primary Immunodeficiency Diseases: an Update on the Classification from the International Union of Immunological Societies Expert Committee for Primary Immunodeficiency 2015. J Clin Immunol 2015; 35: 696-726
  5. Kanariou M, Petridou E, Liatsis M, Revinthi K, Mandalenaki-Lambrou K, Trichopoulos D. Age patterns of immunoglobulins G, A & M in healthy children and the influence of breast feeding and vaccination status. Pediatr Allergy Immunol 1995; 6: 24-29
  6. Kutukculer N, Gulez N. The outcome of patients with unclassified hypogammaglobulinemia in early childhood. Pediatr Allergy Immunol 2009; 20: 693-698
  7. Keles S, Artac H, Kara R, Gokturk B, Ozen A, Reisli I. Transient hypogammaglobulinemia and unclassified hypogammaglobulinemia: ‘similarities and differences. Pediatr Allergy Immunol 2010; 21: 843-851
  8. Van Winkle RC, Hauck WW, McGeady SJ. Phenotypic parameters predict time to normalization in infants with hypogammaglobulinemia. J Clin Immunol 2013; 33: 1336-1340. Stiehm ER. The four most common pediatric immunodeficiencies. J Immunotoxicol 2008; 5: 227-234
  9. Aksu G, Genel F, Koturoğlu G, Kurugöl Z, Kütükçüler N. Serum immunoglobulin (IgG, IgM, IgA) and IgG subclass concentrations in healthy children: a study using nephelometric technique. Turk J Pediatr 2006; 48: 19-24
  10. Ikincioğullari A, Kendirli T, Doğu F, et al. Peripheral blood lymphocyte subsets in healthy Turkish children. Turk J Pediatr 2004; 46: 125-130
  11. Whelan MA, Hwan WH, Beausoleil J, Hauck WW, McGeady SJ. Infants presenting with recurrent infections and low immunoglobulins: characteristics and analysis of normalization. J Clin Immunol 2006; 26: 7-11
  12. Dalal I, Reid B, Brown EN, Roifman CM. The outcome of patients with hypogammaglobulinemia in infancy and early childhood. J Pediatr 1998; 133: 144–146
  13. Ozen A, Baris S, Karakoc-Aydiner E, Ozdemir C, Bahceciler NN, Barlan IB. Outcome of hypogammaglobulinemia in children: immunoglobulin levels as predictors. Clin Immunol 2010; 137: 374-383
  14. Karaca NE, Aksu G, Gulez N, Yildiz B, Azarsiz