Table 1. IUIS phenotypical classification–predominantly antibody deficiencies (without an identified monogenetic origin).
Phenotypical classification | Criteria |
---|---|
Hypogammaglobulinemia | |
Common variable immunodeficiency (CVID) Phenotype (with no known disease-causing monogenic defect specified) | Decrease of IgG, IgA and/or IgM AND secondary causes of hypogammaglobulinemia have been excluded AND B cells > 1% Clinical phenotypes vary: most have recurrent infections, some have polyclonal lymphoproliferation, autoimmune cytopenias and/or granulomatous disease |
Other antibody deficiencies | Isotype, light chain or functional deficiencies with generally normal numbers of B cells |
IgG subclass deficiency with IgA deficiency | Recurrent bacterial infections May be asymptomatic Reduced IgA with decrease in one or more IgG subclass(es) |
Isolated IgG subclass deficiency | Usually asymptomatic A minority may have poor antibody response to specific antigens and recurrent viral/bacterial infections Reduction in one or more IgG subclass(es) |
Selective IgM deficiency | Pneumococcal/ bacterial infections Absent serum IgM |
Selective IgA deficiency | May be asymptomatic Bacterial infections, autoimmunity mildly increased Very low to absent IgA with other isotypes normal, normal subclasses and specific antibodies |
Specific antibody deficiency with normal immunoglobulin levels and normal B cells | Reduced ability to produce antibodies to specific
antigens Immunoglobulin levels normal |
Source: Bousfiha et al. [3].