Boonyaleepun S, Boonyaleepun C, Schlactus J L
Department of Pediatrics, University of Tennessee Medical Center, Knoxville, USA.
Asian Pac J Allergy Immunol. 1999 Mar;17(1):59-62.
Common variable immune deficiency (CVID) is associated with a variety of autoimmune diseases. Alopecia universalis (AU), believed to have an autoimmune basis, has been found in 1.6% of patients with CVID. Intravenous immunoglobulin (IVIG) therapy is used in various immunodeficiency disorders including CVID, and benefit has been shown in the therapy of autoimmune diseases. We report a patient with CVID and AU treated with IVIG who experienced significant hair regrowth. An 8-year-old girl with CVID and AU was treated with IVIG 400 mg/kg every 4 weeks. Since her second dose of IVIG, regrowth of eyelashes, eyebrows, body and scalp hair was observed in this patient. At present, about 1 year treat-meant of IVIG, significant hair regrowth is noted with 5-6 cm of scalp hair. We believe that IVIG may be beneficial in the treatment of AU, at least in patients with CVID.
普通可变免疫缺陷(CVID)与多种自身免疫性疾病相关。全秃(AU)被认为具有自身免疫基础,在1.6%的CVID患者中被发现。静脉注射免疫球蛋白(IVIG)疗法用于包括CVID在内的各种免疫缺陷疾病,并且已显示其在自身免疫性疾病治疗中有益处。我们报告一名接受IVIG治疗的CVID和AU患者,其毛发显著再生。一名患有CVID和AU的8岁女孩每4周接受400mg/kg的IVIG治疗。自她第二次注射IVIG以来,该患者的睫毛、眉毛、身体和头皮毛发开始再生。目前,在接受约1年的IVIG治疗后,头皮毛发显著再生,长度达5 - 6厘米。我们认为IVIG可能对AU的治疗有益,至少对CVID患者有益。