Abstract
The use of exogenous serum to provide protection against infections began more than a century ago. Over time, this concept matured and led to the preparation of concentrated immunoglobulin (IgG) products that were safe and effective when delivered subcutaneously (SC) or intramuscularly (IM) but were not ideal for intravenous (IV) use. Continued improvements led to the development of IgG preparations that are safe for either subcutaneous IgG (SCIG) or intravenous IgG (IVIG) delivery and allow providers and patients significant flexibility to develop an effective but manageable treatment plan. Factors that influence the choice of IgG product and delivery method can maximize the therapeutic benefit and provide the best possible quality of life for patients.
Similar content being viewed by others
References
Behring V. Uber das Zustandekommen der Diphterie–Immunitat und der Tetanus–Immunitat bei Thieren. Dtsch Med Wochenschr. 1890;16:1113–4.
Berger M. A history of immunoglobulin therapy, from the Harvard crash program to monoclonal antibodies. Curr Allergy Asthma Rep. 2002;2:368–78.
Janeway CA. The development and clinical uses of immunoglobulins: a review. In: Merler E, editor. Immunoglobulins: biological aspects and clinical uses. Washington DC: National Academy of Sciences; 1970. p. 3–14.
Bruton OC. Agammaglobulinemia. Pediatrics. 1952;9:722–8.
Skoda-Smith S, Torgerson TR, Ochs HD. Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease. Ther Clin Risk Manag. 2010;6:1–10.
Gardulf A, Hammarstrom L, Edvard Smith CI. Home treatment of hypogammaglobulinemia with subcutaneous gammaglobulin by rapid infusion. Lancet. 1991;338:162–6.
Conflict of Interest
The author is a paid consultant for Baxter Biosciences. He is a grant recipient for Baxter Biosciences and CSL Behring.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Torgerson, T.R. Overview of Routes of IgG Administration. J Clin Immunol 33 (Suppl 2), 87–89 (2013). https://doi.org/10.1007/s10875-012-9845-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10875-012-9845-2