2013, Number 6
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Acta Pediatr Mex 2013; 34 (6)
Human immunoglobulin in primary immunodeficiencies
Scheffler-Mendoza S, Partida-Gaytán A, Yamazaki-Nakashimada M
Language: Spanish
References: 16
Page: 323-331
PDF size: 398.15 Kb.
ABSTRACT
Human immunoglobulin replacement therapy has become a cornerstone
in the treatment of patients with primary immunodeficiencies
(PID). Currently indicated as first-line therapy for predominantly
antibody deficiencies, severe combined immunodeficiencies, and
some well-defined syndromes with immunodeficiencies, it is also
indicated as adjunct therapy in many other PID.
Although considered a high-cost medication, elegant studies had
showed that patients correctly treated with human immunoglobulin
replacement therapy result in lower costs derived from their healthattention.
Major benefits of immunoglobulin replacement therapy include but
are not restricted to: protection against infectious processes, organ
damage progression-arrest, immune modulation and quality-of-life
improvement.
Two modalities of treatment are currently used, intravenous and
subcutaneous, each has clear advantages and disadvantages when
compared to the other, which are presented in this article.
The correct use of human immunoglobulin for the treatment of
patients with PID translates in better medical-practices improving
survival and quality of life of affected patients.
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