Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease

Suzanne Skoda-Smith, Troy R Torgerson, Hans D OchsSeattle Children’s Research Institute and Department of Pediatrics, University of Washington, Seattle, WashingtonAbstract: Antibody deficiency is the most frequently encountered primary immunodeficiency disease (PIDD) and patients who l...

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Main Authors: Suzanne Skoda-Smith, Troy R Torgerson, Hans D Ochs
Format: Article
Language:English
Published: Dove Medical Press 2009-12-01
Series:Therapeutics and Clinical Risk Management
Online Access:http://www.dovepress.com/subcutaneous-immunoglobulin-replacement-therapy-in-the-treatment-of-pa-a3834
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author Suzanne Skoda-Smith
Troy R Torgerson
Hans D Ochs
author_facet Suzanne Skoda-Smith
Troy R Torgerson
Hans D Ochs
author_sort Suzanne Skoda-Smith
collection DOAJ
description Suzanne Skoda-Smith, Troy R Torgerson, Hans D OchsSeattle Children’s Research Institute and Department of Pediatrics, University of Washington, Seattle, WashingtonAbstract: Antibody deficiency is the most frequently encountered primary immunodeficiency disease (PIDD) and patients who lack the ability to make functional immunoglobulin require life-long replacement therapy to prevent serious bacterial infections. Human serum immunoglobulin manufactured from pools of donated plasma can be administered intramuscularly, intravenously or subcutaneously. With the advent of well-tolerated preparations of intravenous immunoglobulin (IVIg) in the 1980s, the suboptimal painful intramuscular route of administration is no longer used. However, some patients continued to experience unacceptable adverse reactions to the intravenous preparations, and for others, vascular access remained problematic. Subcutaneously administered immunoglobulin (SCIg) provided an alternative delivery method to patients experiencing difficulties with IVIg. By 2006, immunoglobulin preparations designed exclusively for subcutaneous administration became available. They are therapeutically equivalent to intravenous preparations and offer patients the additional flexibility for the self-administration of their product at home. SCIg as replacement therapy for patients with primary antibody deficiencies is a safe and efficacious method to prevent serious bacterial infections, while maximizing patient satisfaction and improving quality of life.Keywords: subcutaneous immunoglobulin, primary immunodeficiency disease, antibody deficiency, X-linked agammaglobulinemia, common variable immune deficiency
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spelling doaj.art-8b9b2eb56e544a9fa2b9216cc9ea27982022-12-21T21:09:18ZengDove Medical PressTherapeutics and Clinical Risk Management1176-63361178-203X2009-12-012010default110Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency diseaseSuzanne Skoda-SmithTroy R TorgersonHans D OchsSuzanne Skoda-Smith, Troy R Torgerson, Hans D OchsSeattle Children’s Research Institute and Department of Pediatrics, University of Washington, Seattle, WashingtonAbstract: Antibody deficiency is the most frequently encountered primary immunodeficiency disease (PIDD) and patients who lack the ability to make functional immunoglobulin require life-long replacement therapy to prevent serious bacterial infections. Human serum immunoglobulin manufactured from pools of donated plasma can be administered intramuscularly, intravenously or subcutaneously. With the advent of well-tolerated preparations of intravenous immunoglobulin (IVIg) in the 1980s, the suboptimal painful intramuscular route of administration is no longer used. However, some patients continued to experience unacceptable adverse reactions to the intravenous preparations, and for others, vascular access remained problematic. Subcutaneously administered immunoglobulin (SCIg) provided an alternative delivery method to patients experiencing difficulties with IVIg. By 2006, immunoglobulin preparations designed exclusively for subcutaneous administration became available. They are therapeutically equivalent to intravenous preparations and offer patients the additional flexibility for the self-administration of their product at home. SCIg as replacement therapy for patients with primary antibody deficiencies is a safe and efficacious method to prevent serious bacterial infections, while maximizing patient satisfaction and improving quality of life.Keywords: subcutaneous immunoglobulin, primary immunodeficiency disease, antibody deficiency, X-linked agammaglobulinemia, common variable immune deficiencyhttp://www.dovepress.com/subcutaneous-immunoglobulin-replacement-therapy-in-the-treatment-of-pa-a3834
spellingShingle Suzanne Skoda-Smith
Troy R Torgerson
Hans D Ochs
Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
Therapeutics and Clinical Risk Management
title Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
title_full Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
title_fullStr Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
title_full_unstemmed Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
title_short Subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
title_sort subcutaneous immunoglobulin replacement therapy in the treatment of patients with primary immunodeficiency disease
url http://www.dovepress.com/subcutaneous-immunoglobulin-replacement-therapy-in-the-treatment-of-pa-a3834
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AT hansdochs subcutaneousimmunoglobulinreplacementtherapyinthetreatmentofpatientswithprimaryimmunodeficiencydisease