Skip to main content
Log in

IgG subclass levels in pediatric patients on chronic peritoneal dialysis

  • Original Article
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

Abstract

Patients maintained on chronic peritoneal dialysis (CPD) have been reported to have a variety of abnormalities of humoral immunity, including hypogammaglobulinemia, altered response to vaccination, and selective absence of IgG2. We measured serum immunoglobulin and IgG subclass levels in 22 pediatric CPD patients followed at our institution; 8 patients had low total IgG; 4 of these had low levels of IgG2 and 3 also had low IgG1, but IgG2 levels were detected in all patients. Thus, many pediatric CPD patients may have low IgG, and some may have low IgG1 and IgG2 as a reflection of low total IgG. However, we did not demonstrate a selective absence of IgG2 in these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fivush B, Case B, May M, Lederman H (1987) Hypogammaglobulinemia in children undergoing continuous ambulatory peritoneal dialysis. Pediatr Nephrol 3: 186–188

    Google Scholar 

  2. Katz A, Kashtan C, Greenberg L, Shapiro R, Nevins R, Kim Y (1990) Hypogammaglobulinemia in uremic infants receiving peritoneal dialysis. J Pediatr 117: 258–261

    Google Scholar 

  3. Neu AM, Lederman HM, Fivush BA (1993) Hypogammaglobulinemia in infants maintained on CPD. Am J Kidney Dis 22: A7

    Google Scholar 

  4. Schroder C, Bakkeren J, Weemaes C, Monnens L (1989) IgG2 deficiency in young children treated with continuous ambulatory peritoneal dialysis (CAPD). Perit Dial Bull 9: 261–265

    Google Scholar 

  5. Schur PH (1987) IgG subclasses—a review. Ann Allergy 58: 89–96

    Google Scholar 

  6. Harrod H (1993) Clinical significance of IgG subclasses. Curr Opin Pediatr 5: 696–699

    Google Scholar 

  7. Umetsu D, Ambrosino D, Quinti I, Siber G, Geha R (1985) Recurrent sinopulmonary infection and impaired antibody response to bacterial capsular polysaccharide antigen in children with selective IgG-subclass deficiency. N Engl J Med 313: 1247–1251

    Google Scholar 

  8. McIntosh J, Hansen S, Ziegler J, Penny R (1976) Defective immune and phagocytic functions in uraemia and kidney transplantation. Int Arch Allergy Appl Immunol 51: 544–559

    Google Scholar 

  9. Casciani C, De Simone C, Bonini S, Taccone Gallucci M, Matteucci G, Valesini G, Meli D, Masala C (1978) Immunological aspects of chronic uremia. Kidney Int 13: S49-S54

    Google Scholar 

  10. Neu AM, Lederman HM, Fivush BA (1993) Hypogammaglobulinemia and fatal sepsis in an infant maintained on peritoneal dialysis. Pediatr Nephrol 7: 455–456

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Neu, A.M., Case, B.W., Lederman, H.M. et al. IgG subclass levels in pediatric patients on chronic peritoneal dialysis. Pediatr Nephrol 9, 186–188 (1995). https://doi.org/10.1007/BF00860740

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00860740

Key words

Navigation