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Reduced levels of IgG subclasses and IgA in young children with asthma
Authors:R. K. S. Loh  Y. H. Thong  S. C. Harth  A. Ferrante
Affiliation:Department of Child Health, University of Queensland, Mater Children's Hospital, South Brisbane, Australia.;Department of Immunology, Adelaide Children's Hospital, North Adelaide, Australia.
Abstract:Serum immunoglobulins including IgG subclasses were measured in 73 unselected children with asthma. The results showed that 22 (30%) had partial IgA and/or IgG4 subclass deficiency. Clinical assessment showed that 21 children were infection-prone, and 52 were not. Further analysis showed that infection-prone children were significantly different from non-infection-prone children with regard to familial history of allergy (29% vs 60%, p = 0.015), elevated IgE (62% vs 33%, p = 0.021), IgA deficiency (38% vs 15%, p = 0.38) and IgG subclass deficiency (24% vs 4%, p = 0.018). These results suggest that there may be subgroups of children with asthma who are also immunodeficient.
Keywords:IgG    subclasses    IgA    asthma    children.
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