Case Report

Bilateral Lung Transplantation in a Patient with Humoral Immune Deficiency: A Case Report with Review of the Literature

Table 1

The patient had confirmed deficiencies in IgA, IgG2, and IgG4. Immunoglobulin levels are expressed in mg/dL with age-matched reference ranges provided.

2005 2011 2012

On IVIGNo Yes Yes
Trough level No Yes Yes
Low albuminNo Yes No

IgG 1240 (639–1344 mg/dL) 2540** (767–1590 mg/dL) 1230 (614–1295 mg/dL)
IgG1 960 (422–1292 mg/dL) 1730** (341–894 mg/dL)
IgG2 14* (117–747 mg/dL) 171 (171–632 mg/dL)
IgG3 275** (41–129 mg/dL) 299** (18–106 mg/dL)
IgG4 5* (10–67 mg/dL) 13 (2–121 mg/dL)
IgA 11* (70–312 mg/dL) <7* (69–309 mg/dL) <7* (69–309 mg/dL)
IgM 151 (34–210 mg/dL) 591** (53–334 mg/dL) 125 (53–334 mg/dL)
IgE 6 (0–100 mg/dL)

Abnormally low levels. Abnormally high levels. Data are presented from 2005 (before IVIG therapy), 2011 (trough level during IVIG therapy at a time of hypoalbuminemia), and 2012 (trough level during IVIG therapy at a time of normal serum albumin).