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. 1989 Apr;3(2):186-8.
doi: 10.1007/BF00852907.

Hypogammaglobulinemia in children undergoing continuous ambulatory peritoneal dialysis

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Hypogammaglobulinemia in children undergoing continuous ambulatory peritoneal dialysis

B A Fivush et al. Pediatr Nephrol. 1989 Apr.

Abstract

Humoral immunity was evaluated in seven children undergoing continuous ambulatory peritoneal dialysis (CAPD). Five children (71%) had serum immunoglobulin levels which were more than 2 SD below the mean for age. One mechanism contributing to hypogammaglobulinemia was loss via the peritoneal membrane. Daily losses of IgG into peritoneal dialysis effluents represented 7%-29% of normal daily IgG synthesis, and losses increased with duration of CAPD therapy. Despite the observed hypogammaglobulinemia, all children had protective antibody responses to immunization.

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