European Journal of Pediatrics

, Volume 148, Issue 3, pp 215–217 | Cite as

Immunoglobulin deficiency with increased immunoglobulin M in three siblings: effect of long-term immunoglobulin therapy

  • L. Maródi
  • I. Szabó
  • Á. Kalmár


Diagnosis of immunoglobulin deficiency with increased IgM (hyper-IgM syndrome) was made in three siblings (two girls and a boy) on the basis of history, physical findings, and laboratory data. The prominent clinical findings were recurrent viral and bacterial infections of the respiratory tract. The most severe infections affected the male patient, who died at the age of 8 years. Family history and the lack of clinical signs in the parents and relatives indicated no immunodeficiency which, together with the occurrence of the disease in both sexes, indicated an autosomal recessive inheritance. The two female patients (18 years old and 3 years old) have been treated with intravenous acid-treated immunoglobulin for 2 years, resulting in significant clinical improvement with respect to the frequency and severity of infections.

Key words

Immunodeficiency Hyper-IgM syndrome Siblings Immunoglobulin treatment 



bacille Calmette-Guérin


diphtheria, pertussis, tetanus


purified protein derivate


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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • L. Maródi
    • 1
  • I. Szabó
    • 1
  • Á. Kalmár
    • 1
  1. 1.Department of PaediatricsUniversity School of Medicine, DebrecenDebrecenHungary

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