Increased risk for transfusion reactions. Selective immunoglobulin A (IgA) deficiency is the most common type of primary immunodeficiency. 2010 Jan; Singh K,Chang C,Gershwin ME, IgA deficiency and autoimmunity. Allergies may also be more common among individuals with Selective IgA Deficiency than among the general population. They rarely present with severe reactions, including anaphylaxis, to blood transfusions or intravenous immunoglobulin due to the presence of IgA in these blood products. IgG and IgM are also found in secretions but not in nearly the same amount as IgA. IgM and IgG mainly protect us from infections inside our body tissues, organs and blood. 2006 Jan; Hammarström L,Vorechovsky I,Webster D, Selective IgA deficiency (SIgAD) and common variable immunodeficiency (CVID). Studies have indicated that as many as one in every 500 Caucasian people has Selective IgA Deficiency. [5] Regular immunoglobulin replacement should be performed with caution to avoid an anaphylactic reaction.[1]. IgA deficiency is also seen in ataxia-telangiectasia and other related genetic disorders. For more prep questions on USMLE Steps 1, 2 and 3, view other posts in this series. See how the Council on Long Range Planning & Development (CLRPD) studies long-term strategic issues related to AMA’s vision, goals and priorities. The diagnosis is usually established in individuals older than 4 years whose blood levels of IgA are below 7 mg/dl but have normal levels of IgG and IgM. Patients with thymoma may also present with moderate hypogammaglobulinemia even though having no circulating B cells. However, the real rate could be higher due to the absence of routine screening programs for immunodeficiencies and the fact that many patients are asymptomatic. 0. In some patients, there may be anti-IgA autoantibodies present. iPhone or Expert review of clinical immunology. Most patients with IgA deficiency are asymptomatic. Selective IgA deficiency is often inherited, but has been associated with some congenital intrauterine infections.[4]. There is also a high risk of lung damage in patients with recurrent viral and bacterial infections. Patients can also present with infectious diarrheas. The treatment consists of identification of co-morbid conditions, preventive measures to reduce the risk of infection, and prompt and effective treatment of infections. Food allergy may also be associated with IgA deficiency. His blood pressure is 54/14 mmHg, pulse is 200/min, respirations are 24/min, and oxygen saturation is 90% on room air. Scandinavian journal of immunology. The results show normal lymphocyte count with low levels of IgA, IgG, and IgE and elevated levels of IgM. Journal of clinical immunology. 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