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Hyper IgM Syndrome
Hyper IgM syndrome is a type of primary immunodeficiency syndrome. Primary immunodeficiency occurs when part of a person’s immune system is missing or does not work correctly
Prevalence
1/1,000,000
330
US Estimated
670
Europe Estimated
Age of Onset
ICD-10
D80.5
Inheritance
Autosomal dominant
Autosomal recessive
Mitochondrial/Multigenic
X-linked dominant
X-linked recessive
5 Facts you should know
FACT
Hyper-Immunoglobulin M (Hyper-IgM) Syndromes are a group of rare primary immunodeficiency disorders characterized by a defect in class-switching of immunoglobulins, particularly a deficiency in IgG, IgA, and IgE while having elevated levels of IgM
FACT
There are several types of Hyper-IgM Syndromes, including X-linked Hyper-IgM syndrome (XHIGM), caused by mutations in genes like CD40L, and autosomal recessive or autosomal dominant forms caused by mutations in other genes involved in the immunoglobulin class-switching process
FACT
Common symptoms include increased susceptibility to bacterial, viral, and fungal infections, particularly respiratory and gastrointestinal infections. Patients may also have low levels of other immunoglobulins, leading to recurrent infections
FACT
Diagnosis involves clinical evaluation, measuring immunoglobulin levels (especially IgM), specific antibody levels, and genetic testing to identify mutations in genes associated with Hyper-IgM Syndromes
FACT
Management focuses on preventing infections through immunoglobulin replacement therapy, prophylactic antibiotics, and sometimes bone marrow transplantation in severe cases
Interest over time
Google searches
Common signs and symptoms
Recurrent bacterial infections
Opportunistic infections
Chronic diarrhea
Enlarged lymph nodes
Enlarged liver/spleen
Poor growth or failure to thrive
Low levels of IgG, IgA, and IgE with normal/high IgM
Current treatments
Immunoglobulin replacement therapy (IVIG or SCIG)
Antibiotic prophylaxis
Hematopoietic stem cell transplant (HSCT)
Only curative option