PMID- 12629649 OWN - NLM STAT- MEDLINE DCOM- 20030530 LR - 20131121 IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 70 IP - 1 DP - 2003 May TI - Elevated levels of total and dengue virus-specific immunoglobulin E in patients with varying disease severity. PG - 91-8 AB - The kinetics of total and dengue virus-specific immunoglobulin E (IgE) were studied in serial serum samples obtained from 168 patients, 41 of whom suffered from primary dengue virus infection and 127 suffered from secondary dengue virus infection. Seventy-one patients were classified as dengue fever, 30 as dengue hemorrhagic fever, and 67 as dengue shock syndrome. A control group included single serum samples from patients with a herpes virus infection (n = 14), non-dengue febrile patients (n = 10), and healthy blood donors (n = 10). Patients with dengue virus infection had higher levels of total and dengue virus-specific IgE than non-dengue patients (P < 0.05). Patients with secondary dengue virus infections had not significantly increased levels of both total and dengue virus-specific IgE in the acute phase of disease compared to patients with primary dengue virus infections. Dengue virus-specific IgE was significantly higher in dengue hemorrhagic fever and/or dengue shock syndrome patients compared to dengue fever and non-dengue patients (P < 0.05). In conclusion, this study showed elevated total and dengue virus-specific IgE serum antibody levels in the acute stage of disease. Therefore, measurement of both total and dengue virus-specific IgE serum antibodies can be used as an additional prognostic marker in the development of severe complications in dengue virus infections. In addition, the presence and increase of dengue virus-specific IgE serum antibodies in patients with dengue virus infections is suggestive of the pathogenetic role that IgE may play in the hemostatic disorders observed in dengue hemorrhagic fever and dengue shock syndrome. CI - Copyright 2003 Wiley-Liss, Inc. FAU - Koraka, Penelopie AU - Koraka P AD - Laboratory for Exotic Viral Infections, Institute of Virology, Erasmus Medical Centre Rotterdam, The Netherlands. FAU - Murgue, Bernadette AU - Murgue B FAU - Deparis, Xavier AU - Deparis X FAU - Setiati, Tatty E AU - Setiati TE FAU - Suharti, Catarina AU - Suharti C FAU - van Gorp, Eric C M AU - van Gorp EC FAU - Hack, C E AU - Hack CE FAU - Osterhaus, Albert D M E AU - Osterhaus AD FAU - Groen, Jan AU - Groen J LA - eng PT - Journal Article PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Antibodies, Viral) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Antibodies, Viral/*blood MH - Antibody Formation MH - Antibody Specificity MH - Child MH - Child, Preschool MH - Dengue Virus/*immunology MH - Female MH - Humans MH - Immunoassay MH - Immunoglobulin E/*blood/immunology MH - Infant MH - Kinetics MH - Male MH - Severe Dengue/blood/epidemiology/*immunology MH - Severity of Illness Index EDAT- 2003/03/12 04:00 MHDA- 2003/05/31 05:00 CRDT- 2003/03/12 04:00 PHST- 2003/03/12 04:00 [pubmed] PHST- 2003/05/31 05:00 [medline] PHST- 2003/03/12 04:00 [entrez] AID - 10.1002/jmv.10358 [doi] PST - ppublish SO - J Med Virol. 2003 May;70(1):91-8. doi: 10.1002/jmv.10358.