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Selective Antibody Deficiencies

Selective antibody deficiencies, also referred to as selective immunoglobulin (Ig) deficiencies, are a type of immune deficiency disorder. The condition is characterized by a low level of one class of immunoglobulin, while other immunoglobulin classes may be at normal levels. There are five classes of immunoglobulins: immunoglobulin A (IgA), immunoglobulin G (IgG), immunoglobulin M (IgM), immunoglobulin D (IgD) and immunoglobulin E (IgE).

The most commonly affected class of antibodies is IgA, the type of antibody that protects against infections of the mucous membranes (primarily the surfaces of the respiratory and digestive systems). Persons with selective IgA deficiencies are often asymptomatic, but may be more susceptible to infections such as sinusitis, pneumonia, or urinary tract infections. Diagnosis may be made based on the patient’s overall medical history, a physical examination and laboratory tests to evaluate the antibody levels in the blood.

Treatment for selective antibody deficiencies may include infusions of immunoglobulin, either via intravenous Ig (IVIg) or subcutaneous Ig (Sub-Q Ig) methods. Oral antibiotics may be administered to prevent infections. Selective antibody deficiencies that are acquired (rather than congenital) may resolve if the contributing factor is removed.

Vivaglobin® is the first and only FDA-approved Sub-Q Ig replacement therapy available for patients with primary immunodeficiency disorders. Please see full Prescribing Information and Patient Product Information.


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