Evidence map›Paper›PMID 40232562›Full record

ArticleIndian pediatrics2025

Serum Immunoglobulin Levels in Children with Acute Lymphoblastic Leukemia During Maintenance Chemotherapy and its Association with Severe Febrile Illness.

Maharshi Trivedi, Priyakumari Thankamony, Manjusha Nair, Binitha Rajeswari, Guruprasad Chellappan Sojamani, Shwetha Seetharam, Prasanth Varikkattu Rajendran, Jagathnath Krishna

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Article in Indian pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Maharshi TrivediDepartments of Pediatric and Medical Oncology, Gujarat Cancer Research Institute, Ahmedabad, Gujarat, India.
Priyakumari ThankamonyDepartment of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala, 695011, India. drpriyarcc@gmail.com.ORCID 0000-0001-8332-8391
Manjusha NairDepartment of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala, 695011, India.
Binitha RajeswariDepartment of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala, 695011, India.
Guruprasad Chellappan SojamaniDepartment of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala, 695011, India.
Shwetha SeetharamAster Medicity, Kochi, Kerala, India.
Prasanth Varikkattu RajendranDepartment of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala, 695011, India.
Jagathnath KrishnaDepartments of Cancer Epidemiology and Biostatistics, Regional Cancer Centre, Trivandrum, India.

Funding

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6 · The paper itself

Abstract

objectiveTo determine the proportion of children with acute lymphoblastic leukemia (ALL) with hypoglobulinemia during maintenance chemotherapy and to determine its association with severe febrile illnesses.

methodsChildren with ALL receiving maintenance chemotherapy were prospectively recruited and serum immunoglobulin levels (IgG, IgM, IgA) were measured by turbidimetric method. Children were followed up for severe febrile illnesses for 6 months or till the completion of treatment.

resultsWe enrolled 199 children with mean (SD) age 82.03 (39.34) months; 58, 52, 47, and 42 children had received 0-6, 7-12, 13-18 and 19-24 months of maintenance chemotherapy, respectively. Hypo-IgG, hypo-IgA, and hypo-IgM were seen in 56.8%, 80.4%, and 86.4% of children. 91 (45.7%) children developed 147 episodes of severe febrile illness. Older age (> 5 years) was associated with decreased risk [odds ratio 95% CI] of hypo-IgG [0.540 (0.297, 0.982), P = 0.044], hypo-IgA [0.030 (0.011, 0.088), P = 0.001], and hypo-IgM [0.323 (0.117, 0.894), P = 0.030] and female gender had decreased risk of hypo-IgG (0.539 (0.305, 0.953), P = 0.033). Older age decreased the risk [0.585 (0.328, 1.041), P = 0.014] and girls were at increased risk [(1.118, 3.488), P = 0.019] of severe febrile illness. Hypoglobulinemia did not increase the risk of severe febrile illness.

conclusionHypoglobulinemia was not found to be an independent risk factor for severe febrile illnesses in children with ALL receiving maintenance chemotherapy.

Indexed as

FeverImmunoglobulinsPrecursor Cell Lymphoblastic Leukemia-LymphomaChildChild, PreschoolFemaleHumansInfantMaintenance ChemotherapyMaleProspective StudiesImmunoglobulinsALLFebrile neutropeniaHypoglobulinemiaImmunityImmunocompromized

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PMID40232562

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