Evidence map›Paper›PMID 31129864›Full record

ArticleJournal of clinical immunology2019

Clinical and Laboratory Features of 184 Italian Pediatric Patients Affected with Selective IgA Deficiency (SIgAD): a Longitudinal Single-Center Study.

Vassilios Lougaris, Annamaria Sorlini, Chiara Monfredini, Giulia Ingrasciotta, Andrea Caravaggio, Tiziana Lorenzini, Manuela Baronio, Marco Cattalini, Antonella Meini, Laura Ruggeri and 13 more

Abstract read
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In one paragraph

Article in Journal of clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Immunoglobulin a Deficiency in Coeliac Disease: A Scoping Review.United European gastroenterology journal · 2026
    Article
  2. Article
  3. Article
  4. Inborn errors of immunity (primary immunodeficiencies).Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Review
  5. Article
  6. Review
  7. Clinical manifestation for immunoglobulin A deficiency: a systematic review and meta-analysis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Review
  8. Article
  9. Selective IgA Deficiency May Be an Underrecognized Risk Factor for Severe COVID-19.The journal of allergy and clinical immunology. In practice · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
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  17. Article
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  19. Article
  20. The clinical implications of selective IgA deficiency.Journal of translational autoimmunity · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 2 institutions in 1 country.

Vassilios LougarisPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy. vlougaris@yahoo.co.uk.ORCID 0000-0003-2303-9533
Annamaria SorliniPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Chiara MonfrediniPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Giulia IngrasciottaPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Andrea CaravaggioPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Tiziana LorenziniPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Manuela BaronioPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Marco CattaliniPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Antonella MeiniPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Laura RuggeriPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Annamaria SalpietroPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Alba PilottaPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Livia GrazzaniPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Elena PrandiPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Barbara FelappiPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Giulio GualdiDepartment of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
Antonella FabianoDepartment of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
Maurizio FuotiPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Alberto RavelliPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Vincenzo VillanacciInstitute of Pathology, ASST-Spedali Civili of Brescia, Brescia, Italy.
Annarosa SoresinaPediatrics Clinic, ASST-Spedali Civili of Brescia, Brescia, Italy.
Raffaele BadolatoPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Alessandro PlebaniPediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Experimental Sciences, University of Brescia and ASST-Spedali Civili of Brescia, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelective IgA deficiency (SIgAD) is the most common humoral primary immunodeficiency. Long-term follow-up data in large cohort of pediatric patients are scarce.

methodsWe report on a single-center cohort of 184 pediatric patients affected with selective IgA deficiency and describe the characteristics at diagnosis and during follow-up.

resultsRespiratory infections were the most common clinical finding leading to the initial diagnosis (62%). Positive family history for antibody deficiencies (selective IgA deficiency, common variable immunodeficiency) led to SIgAD diagnosis in 16% of cases. During follow-up, while the incidence of respiratory infections was not particularly high, gastrointestinal symptoms were reported in 27% of patients. Allergic manifestations were found in 23% at diagnosis and an additional 16% of patients during follow-up, leading to a prevalence of atopy of 39% among SIgAD patients. Autoimmune manifestations, excluding celiac disease, were found in 9% of affected patients during follow-up. Celiac disease was found in a high prevalence (14%). Increase of serum IgA levels to partial deficiency (9%) and normal serum levels for age (4%) was observed during follow-up. A small percentage of patients (2%) progressed to common variable immunodeficiency (CVID).

conclusionsIn conclusion, this is the first study to describe a large single-center pediatric cohort of patients affected with SIgAD, revealing that overall most patients do well with regard to infections. Many develop CD, at a rate much higher than the general population. A few normalize their IgA levels. A few progress to CVID. Thus, careful follow-up is suggested to diagnose and treat potential complications earlier for avoiding potential morbidities.

Indexed as

AdolescentCeliac DiseaseChildChild, PreschoolCohort StudiesFemaleHumansHypersensitivityIgA DeficiencyItalyLongitudinal StudiesMaleRespiratory Tract Infectionsallergic manifestationsceliac diseasecommon variable immunodeficiencypediatricSelective IgA deficiency

Identifiers

PMID31129864
OpenAlexW2945329727

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.