Journal article
Selective IgM immunodeficiency: retrospective analysis of 36 adult patients with review of the literature
Annals of allergy, asthma, & immunology, v 97(6), pp 717-730
Dec 2006
PMID: 17201230
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To review and compare previously reported cases of selective IgM immunodeficiency (SIgMID) with the largest adult cohort obtained from a retrospective analysis of an allergy and immunology practice.
Publications were selected from the English-only PubMed database (1966-2005) using the following keywords: IgM immunodeficiency alone and in combination with celiac disease, autoimmune disease, malignancy, and infection. Bibliographic references of relevant articles were used.
Reported adult SIgMID cases were reviewed and included in a comparative database against our cohort.
Previously described patients with SIgMID include 155 adults and 157 patients of unspecified age. Thirty-six adult patients were identified with SIgMID from a database of 13,700 active adult patients (0.26%, 1:385). The mean +/- SD serum IgM level was 29.74 +/- 8.68 mg/dL (1 SD). The mean +/- SD age at the time of diagnosis of SIgMID was 55 +/- 13.5 years. Frequency of presenting symptoms included the following: recurrent upper respiratory tract infections, 77%; asthma, 47%; allergic rhinitis, 36%; vasomotor rhinitis, 19%; angioedema, 14%; and anaphylaxis, 11%. Serologically, 13% of patients had positive antinuclear antibodies (ANAs), 5% had serologic evidence of celiac disease, and nearly all had non-AB blood type. Patients also had low levels of IgM isohemagglutinins. No patients developed lymphoproliferative disease or panhypogammaglobulinemia, and none died of life-threatening infections, malignancy, or fulminant autoimmune-mediated diseases during a mean follow-up period of 3.7 years.
The prevalence of SIgMID in our adult population was 0.26% and may be more common than previously thought. Non-life-threatening respiratory disorders were common comorbid conditions.
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Details
- Title
- Selective IgM immunodeficiency: retrospective analysis of 36 adult patients with review of the literature
- Creators
- Marc F Goldstein - Allergic Disease Associates, PC/The Asthma Center, Philadelphia, PennsylvaniaAlex L Goldstein - University of PennsylvaniaEliot H Dunsky - Allergic Disease Associates, PC/The Asthma Center, Philadelphia, PennsylvaniaDonald J Dvorin - Allergic Disease Associates, PC/The Asthma Center, Philadelphia, PennsylvaniaGeorge A Belecanech - Allergic Disease Associates, PC/The Asthma Center, Philadelphia, PennsylvaniaKfir Shamir - Hahnemann University Hospital
- Publication Details
- Annals of allergy, asthma, & immunology, v 97(6), pp 717-730
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate); General Internal Medicine; Obstetrics and Gynecology
- Web of Science ID
- WOS:000243021300002
- Scopus ID
- 2-s2.0-33845917341
- Other Identifier
- 991019168780404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Allergy
- Immunology