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Discontinuation of immunoglobulin replacement therapy in patients with secondary antibody deficiency
Authors:Vishesh Patel
Affiliation:Faculty of Medicine, University of Ottawa , Ottawa, Canada
Abstract:ABSTRACT

Introduction

Secondary immunodeficiency is becoming a greater medical concern as the usage of immunosuppressive and biological treatments has increased. Individuals with certain medical conditions, such as hematological malignancies, can also have secondary immunodeficiency. Immunoglobulin replacement therapy (IGRT), which has been used for decades in inherited or primary immunodeficiency, provides some protection to patients with acquired and predominant antibody deficiency, i.e. secondary antibody deficiency (SAD). However, IGRT is costly, and supplies are limited. Although there are clinical guidelines on when to initiate IGRT, there is no guideline on when to discontinue it.
Keywords:Hypogammaglobulinemia  immunodeficiency  immunoglobulin replacement  secondary antibody deficiency  treatment discontinuation
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