Abstract
A 35-year-old man with common variable hypogammaglobulinemia had repeated anaphylactic reactions to intramuscular human immune serum globulin (HISG), preventing him from receiving the injections. He was able to tolerate slow subcutaneous HISG infusions without local or systemic side effects at a dose of 12 ml/week given at a rate of 2 ml/hr. He has been maintained on these infusions for 2 years in an infection-free state.
References
Glaser J, Wyss-Souffront WA: Alleged anaphylactic reactions to human gamma globulin. Pediatrics 28:367–376, 1961
Richerson HB, Seebohm PM: Anaphylactoid reaction to human gamma globulin. Arch Intern Med 117:568–572, 1966
Ellis EF, Henney CS: Adverse reactions following administration of human gamma globulin. J Allergy 43:45–54, 1969
Stiehm ER: Standard and special human immune serum globulins as therapeutic agents. Pediatrics 63:301–319, 1979
Berger M, Cupps TR, Fauci AS: Immunoglobulin replacement therapy by slow subcutaneous infusion. Ann Intern Med 93:55–56, 1980
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Welch, M.J., Stiehm, E.R. Slow subcutaneous immunoglobulin therapy in a patient with reactions to intramuscular immunoglobulin. J Clin Immunol 3, 285–286 (1983). https://doi.org/10.1007/BF00915353
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00915353