TABLE II.
CVID ICON | Ameratunga et al16 |
---|---|
The diagnosis is “definite” if all criteria are met. | The diagnosis is “probable” if all criteria are met. |
“Probable” or “possible” CVID is not defined. | Both “probable” and “possible” CVID are defined; there is no “definite” CVID. |
Serum IgG level must be below local/regional clinical laboratory norms. |
Serum IgG must be <5 g/L for all. |
IgA or IgM must be low (IgA low preferred). | IgA or IgM may be low, but neither is required to be low. |
Impaired vaccine response is required for the diagnosis. | Impaired vaccine response may be supportive of the diagnosis, but is not required. |
The diagnosis may be established solely on the basis of laboratory criteria. |
Some symptom/clinical manifestation must be present for “probable” CVID. |
The diagnosis is not influenced by additional laboratory criteria. |
“Probable” CVID may be established with supportive laboratory criteria (low IgG3, low memory B cells, increased CD21, low B cells, autoantibodies) and genetic alterations (TACI, BAFFR, MSH5, and others). |
The diagnosis does not depend on histological criteria. | “Probable” CVID may be established with supportive histological criteria (granulomas, lung or gastrointestinal disease). |
ICON, International Consensus.