TABLE 3.
Laboratory and clinical findings for patients with IgA deficiencya
| Patient no. | Age (yr) | IgA level (mg/dl) | IgG level (mg/dl) | Gliadin IgG level (units) | EMG titer | TG-IgG OD | Biopsy findings | Clinical findings |
|---|---|---|---|---|---|---|---|---|
| 1 | 3 | <7 | 782 | 22 | <1:5 | 0.11 | Not done | Asymptomatic; the mother has CD |
| 2 | 4 | <7 | 1,140 | 26 | <1:5 | 0.02 | Not done | Upper respiratory infections |
| 3 | 7 | <7 | 1,440 | 2 | <1:5 | 0.03 | Not done | Type 1 diabetes |
| 4 | 7 | <7 | 1,680 | 18 | <1:5 | 0.05 | NVAb | Inflammatory bowel disease |
| 5 | 13 | <7 | 1,320 | 10 | 1:20 | 1.07 | Unknown | Unknown |
| 6 | 32 | <7 | 1,432 | 1 | 1:5 | 0.05 | Not done | Chronic bloating, gas |
| 7 | 45 | <7 | 1,810 | 13 | <1:5 | 0.04 | Unknown | Unknown |
| 8 | 61 | <7 | 346 | 1 | <1:5 | 0.01 | NVA | Diarrhea, malabsorption |
| 9 | 67 | <7 | 2,110 | 57 | <1:5 | 0.12 | Unknown | Unknown |
| 10 | 2 | 12.5 | 618 | 19 | <1:5 | 0.03 | Not done | Chronic diarrhea |
| 11 | 15 | 30.5 | 691 | 37 | <1:5 | 0.03 | Not done | Irritable bowel syndrome |
| 12 | 77 | 34.5 | 1,500 | 1 | <1:5 | 0.03 | NVA | Diarrhea, colitis |
| 13 | 47 | 46.7 | 411 | 1 | <1:5 | 0.05 | Not done | Diarrhea, anemia |
| 14 | 16 | 50.5 | 964 | 5 | <1:5 | 0.02 | Not done | Diarrhea, weight loss |
| 15 | 56 | 52.7 | 1,170 | 8 | <1:5 | 0.01 | Not done | Decreased vitamin D levels |
| 16 | 19 | 54.3 | 560 | 13 | <1:5 | 0.02 | Not done | Irritable bowel syndrome |
| 17 | 15 | 55.1 | 1,390 | 3 | <1:5 | 0.18 | Unknown | Unknown |
| 18 | 48 | 55.3 | 854 | 7 | <1:5 | 0.03 | Not done | Family history of CD |
| 19 | 15 | 55.4 | 770 | 6 | <1:5 | 0.13 | Unknown | Unknown |
| 20 | 13 | 56.7 | 905 | 30 | <1:5 | 0.04 | Not done | Diarrhea, abdominal pain |
| 21 | 68 | 57.4 | 690 | 11 | <1:5 | 0.04 | See note*c | Known CD on gluten-free diet; low urine calcium levels |
| 22 | 47 | 58.6 | 2,230 | 3 | <1:5 | 0.05 | Unknown | Unknown |
| 23 | 14 | 61.5 | 800 | 11 | <1:5 | 0.03 | Not done | Type I diabetes |
| 24 | 13 | 67.1 | 609 | 32 | <1:5 | 0.03 | NVA | Poor weight gain |
| 25 | 47 | 67.6 | 459 | 1 | <1:5 | 0.01 | Unknown | Unknown |
| 26 | 13 | 67.9 | 1,050 | 4 | <1:5 | 0.09d | Unknown | Unknown |
Boldface type indicates abnormal results for IgG (decreased), gliadin IgG (increased), EMG (increased), or TG-IgG (increased).
NVA, no villous atrophy.
Biopsy showed villous atrophy when CD was diagnosed many years earlier; no biopsy was performed recently.
This patient's serum exhibited a slightly increased TG-IgA level (21 units).