hypergammaglobulinemia Flashcards
what is hypergammaglobulinemia
increased production of antibodies in response to infection/malignancy
types of hypergammaglobulinemia
monoclonal
polyclonal
difference between monoclonal/polyclonal hypergammaglobulinemia
monoclonal- increased antibody production from one cell type
polyclonal- increased antibody production from different cell types
causes of hypergammaglobulinemia
infection - malaria
multiple myeloma
rheumatoid arthritis
liver disease
genetic
symptoms/signs of hypergammaglobulinemia
fever
fatigue
swollen lymph nodes
investigations for hypergammaglobulinemia
FBC (raised WCC)
high gamma globulins
some antibodies deficient
management for hypergammaglobulinemia
treat cause
immunoglobulin replacement of deficient ones? (uncommon)
treatment for malaria
antimalarial drugs
treatment for rheumatoid arthritis
DMARDs (methotrexate/ hydroxychloroquine)
+ short term steroids (prednisolone)/ NSAIDs (ibuprofen)
- biologics (adalimumab)