Humoral immune deficiency
Humoral immune deficiencies are conditions which cause impairment of humoral immunity, which can lead to immunodeficiency. It can be mediated by insufficient number or function of B cells, the plasma cells they differentiate into, or the antibody secreted by the plasma cells. The most common such immunodeficiency is inherited selective IgA deficiency, occurring between 1 in 100 and 1 in 1000 persons, depending on population. They are associated with increased vulnerability to infection, but can be difficult to detect in the absence of infection.
Signs and symptoms
Signs/symptoms of humoral immune deficiency depend on the cause, but generally include signs of infection such as:Cause of this deficiency is divided into primary and secondary:
- Primary the International Union of Immunological Societies classifies primary immune deficiencies of the humoral system as follows:
- Secondary secondary forms of humoral immune deficiency are mainly due to hematopoietic malignancies and infections that disrupt the immune system:
Diagnosis
- Measure serum immunoglobulin levels
- B cell count
- Family medical history
Treatment
- Treatment of infection
- Surveillance for malignancies
- Immunoglobulin replacement therapy