Subcutaneous immunoglobulin therapy: a new option for patients with primary immunodeficiency diseases

bcutaneous immunoglobulin therapy: a new option for patients with primary immunodeficiency diseases Review (1904) Total Article Views Authors: Kobrynski L Published Date August 2012 Volume 2012:6 Pages 277 - 287 DOI: http://dx.doi.org/10.2147/BTT.S25188 Received: 08 May 2012 Accepted: 07 June 2012 Published: 24 August 2012 Lisa Kobrynski Department of Pediatrics, Emory University, Atlanta, GA, USA Abstract: Since the 1950s, replacement of immunoglobulin G using human immunoglobulin has been the standard treatment for primary immunodeficiency diseases with defects in antibody production. These patients suffer from recurrent and severe infections, which cause lung damage and shorten their life span. Immunoglobulins given intravenously (IVIG) every 3–4 weeks are effective in preventing serious bacterial infections and improving the quality of life for treated patients. Administration of immunoglobulin subcutaneously (SCIG) is equally effective in preventing infections and has a lower incidence of serious adverse effects compared to IVIG. The tolerability and acceptability of SCIG has been demonstrated in numerous studies showing improvements in quality of life and a preference for subcutaneous immunoglobulin therapy in patients with antibody deficiencies.