In
class we have been discussing the structure and function of the different
classes of anitbodies we find in our immune system. Our body contains five
classes on immunoglobulins which include IgA, IgG, IgD, IgE, and IgM. Out of
these five IgG is the immunoglobulin who has the main role in protection
against infections, as it protects us from bacteria and viruses. SAD is a disorder
in which a person has normal levels of all immunoglobulins except IgG. Due to
the fact that IgG having a main role in protecting against infection, it is
common for patients with SAD to experience recurrent infections. Particularly
it has been found that IgG acts against the sugar coat of illnesses such as
Streptococcus pneumoniae, Moraxella catarrhalis and Haemophilus influenza. This
is because IgG produces molecules against the pathogens that cause upper and
lower respiratory infections.
However, as crucial as IgG is to our
immune system, our bodies are equipped with other components that also help in
fighting off infections such as T cells, complements proteins, other WBCs and
IgA. This explains why some patients diagnosed with SAD rarely get sick. This
means that their other components are working well together and compensating
for the deficiency of IgG. In general, the infections suffered by patients with
SAD are not as severe as those suffered by patients who have combined
deficiencies of IgG, IgA and IgM. For example diseases such as X-linked
Agammaglobulinemia (XLA) or Common Variable Immune Deficiency. Although, often
patients with SAD will come to the physician’s office with a single severe
pneumonia or other infection.
Although recurrent infections in the
ears, sinuses, bronchi or lungs is usually a pretty good indicator of SAD, to
diagnose precisely diagnose one must measure the total amount of
immunoglobulins. Treatment for SAD usually can be treated with antibiotics,
unless the infection has taken a severe course. In this case Ig replacement
therapy is considered. Children are more likely to outgrow SAD through close
monitoring and immunizations such as pneumococcal vaccines. If diagnosed as a
teenager or adult it is less likely that the deficiency will be resolved on its
own. In both scenarios close monitoring of the Ig levels is crucial.
"Specific Antibody Deficiency." Immune Deficiency Foundation. N.p., 2013.
Web. 19 Oct. 2016. <http://primaryimmune.org/about-primary-
immunodeficiencies/specific-disease-types/specific-antibody- deficiency/>.