Selective Immunoglobulin G Subclass Deficiency - CISMeF
Selective Immunoglobulin G Subclass DeficiencyNCIt concept
Preferred Label : Selective Immunoglobulin G Subclass Deficiency;
NCIt definition : A classification of dysgammaglobulinemias characterized by low or undetectable serum
levels of one of the four immunoglobulin class G (IgG) subclasses. Selective IgG1
deficiency is rare and primarily decreases the immune response to bacterial protein
antigens. Selective IgG2 deficiency is the most common subclass deficiency among children
and primarily leads to an inadequate response to bacterial polysaccharide antigens.
Selective IgG3 deficiency is the most common subclass deficiency among adults and
also primarily lowers the response to bacterial proteins. Selective IgG4 deficiency
may be a clinically insignificant developmental variant, as IgG4 is a subclass that
is virtually undetectable until the end of the first decade of life. Low levels of
any IgG subclass will reduce the immune system's effectiveness and thus the clinical
presentation of these diseases is usually recurrent infection, particularly by encapsulated
bacteria.;