PMID- 18940574 OWN - NLM STAT- MEDLINE DCOM- 20090206 LR - 20081022 IS - 0889-8561 (Print) IS - 0889-8561 (Linking) VI - 28 IP - 4 DP - 2008 Nov TI - Subcutaneous administration of IgG. PG - 779-802, viii LID - 10.1016/j.iac.2008.07.002 [doi] AB - The availability of IgG preparations that could be administered safely by the intravenous route was finally achieved in the early to mid-1980s. Intravenous immunoglobulin (IVIG) revolutionized the treatment of primary immune deficiency diseases (PIDD) and led to the discovery of the therapeutic value of high-dose IgG in autoimmune and inflammatory diseases not associated with PIDD. Improved therapy has improved outcomes and expectations, and most PIDD patients can lead fully active and productive lives. Administration of IgG by the subcutaneous route is effective and safe and overcomes obstacles to the use of IVIG in some patients. Many patients find administration of subcutaneous IgG at home more convenient than receiving IVIG at the Doctor's office or hospital. The coming years will see increased use of subcutaneous immunoglobulin in PIDD, which will be facilitated by advances leading to higher-concentration IgG products and easier delivery. FAU - Berger, Melvin AU - Berger M AD - Department of Pediatrics, Case Western Reserve University, Cleveland, OH, USA. melvin.berger@uhhospitals.org LA - eng PT - Journal Article PT - Review PL - United States TA - Immunol Allergy Clin North Am JT - Immunology and allergy clinics of North America JID - 8805635 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Animals MH - Clinical Protocols MH - Clinical Trials as Topic MH - Drug Administration Routes MH - Drug Approval MH - Drug Costs MH - Female MH - Humans MH - Immunoglobulins, Intravenous/*administration & dosage/adverse effects/economics/pharmacokinetics MH - Immunologic Deficiency Syndromes/physiopathology/psychology/*therapy MH - Injections, Subcutaneous MH - Pregnancy MH - Pregnancy Complications/immunology/therapy MH - Quality of Life MH - Treatment Outcome RF - 58 EDAT- 2008/10/23 09:00 MHDA- 2009/02/07 09:00 CRDT- 2008/10/23 09:00 PHST- 2008/10/23 09:00 [pubmed] PHST- 2009/02/07 09:00 [medline] PHST- 2008/10/23 09:00 [entrez] AID - S0889-8561(08)00077-5 [pii] AID - 10.1016/j.iac.2008.07.002 [doi] PST - ppublish SO - Immunol Allergy Clin North Am. 2008 Nov;28(4):779-802, viii. doi: 10.1016/j.iac.2008.07.002.