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. 2022 Mar 25;17(3):e0266083. doi: 10.1371/journal.pone.0266083

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].