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Selective IGA Deficiency

Selective Immunoglobulin A (IgA) Deficiency is a common and relatively mild form of primary immunodeficiency disorder (PIDD) that occurs in as many as 1 in every 500 individuals. What is IGA deficiency? It is characterized by a total absence or severe lack of IgA, a class of antibody that protects against infections of the mucous membranes of the respiratory and digestive systems. While the causes of Selective IgA Deficiency are unknown, a combination of genetic and environmental factors may play a factor.

While people with Selective IgA Deficiency lack IgA class immunoglobulins, they usually have normal amounts of the other types of immunoglobulins. This means that many of these individuals are asymptomatic and may not be diagnosed with Selective IgA Deficiency. However, some with the condition may experience significant illnesses. Recurrent ear infections, sinusitis, bronchitis, pneumonia, gastrointestinal infections and chronic diarrhea are the most common infections occurring in patients with Selective IgA Deficiency. When suspected, the diagnosis can be confirmed by testing the IgA level in the blood.

Vivaglobin® is the first and only FDA-approved Sub-Q Ig replacement therapy available for patients with primary immunodeficiency disorders. As with all immune globulin products, Vivaglobin® is contraindicated in individuals with a history of anaphylactic or severe systemic response to immune globulin preparations and in persons with selective IgA deficiency who have known antibody against IgA. If anaphylactic or anaphylactoid reactions are suspected, discontinue administration immediately and treat as medically appropriate.

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