Evidence map›Paper›PMID 34478043›Full record

ArticleJournal of clinical immunology2021

Is There a Clinical Significance of Very Low Serum Immunoglobulin E Level?

Serdar Al, Suna Asilsoy, Nevin Uzuner, Gizem Atakul, Özge Atay, Özge Kangallı, Işık Odaman Al, Özkan Karaman

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Comment on "Total IgE and hematologic malignancy development".The World Allergy Organization journal · 2025
    Article
  2. Article
  3. Updated total IgE reference intervals in Norwegian adults.Immunity, inflammation and disease · 2023
    Article
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

8 authors at 2 institutions in 1 country.

Serdar AlDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. drserdaral@gmail.com.ORCID http://orcid.org/0000-0002-4846-6761
Suna AsilsoyDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-4235-0995
Nevin UzunerDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0001-8862-7825
Gizem AtakulDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-3508-1360
Özge AtayDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-7673-3601
Özge KangallıDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0003-3393-489X
Işık Odaman AlDepartment of Pediatric Hematology and Oncology, Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital, Izmir, Turkey.ORCID http://orcid.org/0000-0003-4292-1409
Özkan KaramanDepartment of Pediatric Allergy and Clinical Immunology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-5675-3808
Dokuz Eylül University · TRDr. Behçet Uz Çocuk Hastalıkları Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigh serum immunoglobulin (Ig) E levels are associated with allergies, parasitic infections, and some immune deficiencies; however, the potential effects and clinical implications of low IgE levels on the human immune system are not well-known. This study aims to determine the disorders accompanying very low IgE levels in children and adults.

methodsThe patients whose IgE levels were determined between January 2015 and September 2020 were analyzed, and the patients with an IgE level < 2 IU/mL were included in this study. Demographic data, immunoglobulin levels, autoantibody results, and the diagnoses of the patients were noted from the electronic recording system of the hospital.

resultThe IgE levels were measured in 34,809 patients (21,875 children, 12,934 adults), and 130 patients had IgE levels < 2 IU/mL. Fifty-seven patients were children (0.26%); 73 were adults (0.56%). There was a malignant disease in 34 (9 of them children) (26%), autoimmune diseases in 20 (3 of them children) (15.4%), and immunodeficiency in 17 (14 of them children) (13.1%) of the patients. The most common reasons were other diseases, immunodeficiency and malignancy in children, and malignancy, autoimmune disorders, and other diseases in the adults, in rank order. The IgE level did not show any correlation with the levels of other immunoglobulins.

conclusionAlthough rare, a low IgE level has been shown to accompany malignancies, autoimmune disorders, and immune deficiencies. Patients with very low IgE levels should be carefully monitored for systemic disorders.

Indexed as

AdolescentAgedAutoimmune DiseasesChildFemaleHumansImmunoglobulin EImmunologic Deficiency SyndromesMaleMiddle AgedNeoplasmsImmunoglobulin EAdultautoimmune diseaseschildimmunoglobulin Einborn error of immunityneoplasms

Identifiers

PMID34478043
OpenAlexW3158044539

What OpenQuestion holds

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Registered trials

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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.