A novel method to standardise serum IgA measurements shows an increased prevalence of IgA deficiency in young children with recurrent respiratory tract infections

Autor: Mischa H Koenen, Madeleen Bosma, Udo A Roorda, Fabiënne MY Wopereis, Anja Roos, Erhard vander Vries, Debby Bogaert, Elisabeth AM Sanders, Marianne Boes, Jojanneke Heidema, Joris M vanMontfrans, Walter AF Balemans, Thijs C vanHolten, Lilly M Verhagen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinical & Translational Immunology, Vol 10, Iss 11, Pp n/a-n/a (2021)
Druh dokumentu: article
ISSN: 2050-0068
DOI: 10.1002/cti2.1344
Popis: Abstract Objectives While physicians are often confronted with immunoglobulin A (IgA) deficiency in children with recurrent infections, the clinical relevance of this finding is unclear. Large‐scale studies examining the significance of IgA deficiency in children are hampered by differences in techniques for measuring IgA and the physiological increase of IgA with age. Both result in a variety of reference values used for diagnosing IgA deficiency. We propose a new laboratory‐independent method to accurately compare IgA measurements in children of varying ages. Methods We present a method to standardise IgA values for age and laboratory differences. We applied this method to a multicentre case–control study of children under the age of seven suffering from recurrent respiratory tract infections (rRTI, cases) and children who had IgA measured as part of coeliac disease screening (controls). We defined IgA deficiency as serum IgA measurements
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