The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review

Infections following treatment of rheumatic diseases are common and potentially life threatening. Severe infections may be related to the overall susceptibility in rheumatic diseases, neutropenia in connective tissue diseases, as well as secondary hypogammaglobulinemia (SHG) due to the use of immuno...

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Main Author: Winnie Wan Yin Yeung
Format: Article
Language:English
Published: World Scientific Publishing 2024-12-01
Series:Journal of Clinical Rheumatology and Immunology
Subjects:
Online Access:https://www.worldscientific.com/doi/10.1142/S2661341724300027
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author Winnie Wan Yin Yeung
author_facet Winnie Wan Yin Yeung
author_sort Winnie Wan Yin Yeung
collection DOAJ
description Infections following treatment of rheumatic diseases are common and potentially life threatening. Severe infections may be related to the overall susceptibility in rheumatic diseases, neutropenia in connective tissue diseases, as well as secondary hypogammaglobulinemia (SHG) due to the use of immunosuppressants. Herein, a case of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) with recurrent cytomegalovirus (CMV) infections and SHG was described, followed by discussion of pathophysiology, clinical presentation, risk factors, and management of SHG, emphasizing the importance of baseline immunoglobulin level monitoring.
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spelling doaj-art-72dd52c078b7453493a723d339f5941a2025-02-05T07:39:34ZengWorld Scientific PublishingJournal of Clinical Rheumatology and Immunology2661-34172661-34252024-12-012402848910.1142/S2661341724300027The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic ReviewWinnie Wan Yin Yeung0The University of Hong Kong, Hong Kong SAR, ChinaInfections following treatment of rheumatic diseases are common and potentially life threatening. Severe infections may be related to the overall susceptibility in rheumatic diseases, neutropenia in connective tissue diseases, as well as secondary hypogammaglobulinemia (SHG) due to the use of immunosuppressants. Herein, a case of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) with recurrent cytomegalovirus (CMV) infections and SHG was described, followed by discussion of pathophysiology, clinical presentation, risk factors, and management of SHG, emphasizing the importance of baseline immunoglobulin level monitoring.https://www.worldscientific.com/doi/10.1142/S2661341724300027Secondary HypogammaglobulinemiaImmunosuppressionImmunosuppressive MedicationsAutoimmune Rheumatic DiseasesB-cell Targeting Therapy
spellingShingle Winnie Wan Yin Yeung
The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
Journal of Clinical Rheumatology and Immunology
Secondary Hypogammaglobulinemia
Immunosuppression
Immunosuppressive Medications
Autoimmune Rheumatic Diseases
B-cell Targeting Therapy
title The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
title_full The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
title_fullStr The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
title_full_unstemmed The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
title_short The Importance of Monitoring Baseline and Regular Immunoglobulin Levels in Managing Secondary Hypogammaglobulinemia in Rheumatic Diseases: A Case Report and Systematic Review
title_sort importance of monitoring baseline and regular immunoglobulin levels in managing secondary hypogammaglobulinemia in rheumatic diseases a case report and systematic review
topic Secondary Hypogammaglobulinemia
Immunosuppression
Immunosuppressive Medications
Autoimmune Rheumatic Diseases
B-cell Targeting Therapy
url https://www.worldscientific.com/doi/10.1142/S2661341724300027
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