Pediatric Selective IgM Immunodeficiency

Abstract EN

Limited information exists on features of pediatric Selective IgM immunodeficiency (SIgMID).

Previously published pediatric cases and 2 new cases are reviewed.

Methods.

English literature from PubMed and references from relevant articles were reviewed.

Previously reported cases and 2 new cases from an allergy/immunology practice were analyzed.

Results.

Forty-nine reported cases of SIgMID presented with respiratory infections (77.6%), gastrointestinal disease (16.3%), skin disease (12.2%), and meningitis (8.2%).

Mean serum IgM level was 16.5±13.8 mg/dL.

Two patients were identified with SIgMID among 6300 active pediatric patients (0.03%) presenting with asthma, vasomotor rhinitis, and recurrent respiratory infections.

In the 51 cases reported, none developed lymphoproliferative disease nor evolved into panhypogammaglobulinemia; four fatalities were reported.

Conclusions.

The prevalence of SIgMID in our pediatric population was 0.03%.

In general, respiratory infections are the common comorbid conditions.

Death and autoimmune disease are uncommon complications of pediatric SIgMID.