The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors

Sabina Chaudhary Hauge; Charlotte Kæstel Jensen; Leif Kofoed Nielsen; Ole B. Pedersen; Erik Sørensen; Lise Wegner Thørner; Henrik Hjalgrim; Christian Erikstrup; Kaspar René Nielsen; Kathrine Agergård Kaspersen; Maria Didriksen; Morten Dziegiel; Henrik Ullum

doi:10.1111/apm.12807

The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors

Sabina Chaudhary Hauge, Charlotte Kæstel Jensen, Leif Kofoed Nielsen, Ole B. Pedersen, Erik Sørensen, Lise Wegner Thørner, Henrik Hjalgrim, Christian Erikstrup, Kaspar René Nielsen, Kathrine Agergård Kaspersen, Maria Didriksen, Morten Dziegiel, Henrik Ullum^*

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin

2 Citationer (Scopus)

Abstract

The clinical importance of immunoglobulin A (IgA) deficiency in otherwise healthy individuals is not well described. We aimed to investigate the self-reported mental and physical health and the risk of infection in IgA-deficient blood donors compared to healthy control blood donors. Infectious events, recorded in public health registries either as prescriptions filled of any antimicrobial medicine or as hospital infections, were compared between 177 IgA-deficient blood donors and 1770 control blood donors. A subset of the IgA-deficient donors were further characterized by self-reported health (Short Form-12, n = 28) and circulating C-reactive protein (CRP) (n = 10). IgA-deficient individuals had lower self-reported mental health (p = 0.01) and higher CRP (p < 0.05). A strong trend was found regarding prescription of antimicrobial medicine (hazard ratio = 1.19, p = 0.05). No association was found with hospital infections (hazard ratio = 1.02, p = 0.95) or self-reported physical health (p = 0.86). IgA-deficient blood donors have impaired self-reported mental health, enhanced inflammation and possibly an increased risk of infection. Despite these findings, this study does not provide sufficient evidence to warrant specific health precautions for donors with IgA deficiency.

Originalsprog	Engelsk
Tidsskrift	A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica
Vol/bind	126
Udgave nummer	3
Sider (fra-til)	248-256
Antal sider	9
ISSN	0903-4641
DOI	https://doi.org/10.1111/apm.12807
Status	Udgivet - 1 mar. 2018

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Hauge, S. C., Jensen, C. K., Nielsen, L. K., Pedersen, O. B., Sørensen, E., Thørner, L. W., Hjalgrim, H., Erikstrup, C., Nielsen, K. R., Kaspersen, K. A., Didriksen, M., Dziegiel, M., & Ullum, H. (2018). The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors. A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica, 126(3), 248-256. https://doi.org/10.1111/apm.12807

The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors. / Hauge, Sabina Chaudhary; Jensen, Charlotte Kæstel; Nielsen, Leif Kofoed et al.

I: A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica, Bind 126, Nr. 3, 01.03.2018, s. 248-256.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Hauge, SC, Jensen, CK, Nielsen, LK, Pedersen, OB, Sørensen, E, Thørner, LW, Hjalgrim, H, Erikstrup, C, Nielsen, KR, Kaspersen, KA, Didriksen, M, Dziegiel, M & Ullum, H 2018, 'The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors', A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica, bind 126, nr. 3, s. 248-256. https://doi.org/10.1111/apm.12807

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abstract = "The clinical importance of immunoglobulin A (IgA) deficiency in otherwise healthy individuals is not well described. We aimed to investigate the self-reported mental and physical health and the risk of infection in IgA-deficient blood donors compared to healthy control blood donors. Infectious events, recorded in public health registries either as prescriptions filled of any antimicrobial medicine or as hospital infections, were compared between 177 IgA-deficient blood donors and 1770 control blood donors. A subset of the IgA-deficient donors were further characterized by self-reported health (Short Form-12, n = 28) and circulating C-reactive protein (CRP) (n = 10). IgA-deficient individuals had lower self-reported mental health (p = 0.01) and higher CRP (p < 0.05). A strong trend was found regarding prescription of antimicrobial medicine (hazard ratio = 1.19, p = 0.05). No association was found with hospital infections (hazard ratio = 1.02, p = 0.95) or self-reported physical health (p = 0.86). IgA-deficient blood donors have impaired self-reported mental health, enhanced inflammation and possibly an increased risk of infection. Despite these findings, this study does not provide sufficient evidence to warrant specific health precautions for donors with IgA deficiency.",

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AU - Pedersen, Ole B.

AU - Sørensen, Erik

AU - Thørner, Lise Wegner

AU - Hjalgrim, Henrik

AU - Erikstrup, Christian

AU - Nielsen, Kaspar René

AU - Kaspersen, Kathrine Agergård

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AU - Dziegiel, Morten

AU - Ullum, Henrik

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The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors

Abstract

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