PMID- 28079913 OWN - NLM STAT- MEDLINE DCOM- 20170502 LR - 20170502 IS - 1938-2359 (Electronic) IS - 0090-4481 (Linking) VI - 46 IP - 1 DP - 2017 Jan 1 TI - Intravenous Immunoglobulin in the Treatment of Hematologic Disorders in Pediatrics. PG - e13-e18 LID - 10.3928/19382359-20161213-01 [doi] AB - Intravenous immunoglobulin (IVIG) is pooled immunoglobulin G derived from human blood donors. It was introduced in the early 1980s to treat immunodeficiency disorders. Since then, its use has expanded to other fields such as neurology, rheumatology, and hematology. IVIG has been used to provide passive immunity in qualitative and quantitative immunoglobulin disorders, to neutralize antibodies in immune-mediated diseases, and as an immune modulatory agent. The difficulty of producing IVIG in high quantities, in addition to a growing list of "off-label" indications, has resulted in a worldwide shortage and increase in cost. From a pediatric hematology perspective, IVIG is considered an appropriate therapeutic option in autoimmune cytopenias, sometimes coadministrated with steroids. Its use in other hematologic disorders is questionable, and there is not sufficient evidence to recommend it. This article provides clear information to the general pediatrician about indications for IVIG therapy in children with hematologic disorders. [Pediatr Ann. 2017;46(1):e13-e18.]. CI - Copyright 2017, SLACK Incorporated. FAU - Villanueva, Gabriela AU - Villanueva G FAU - de Jong, Jill L O AU - de Jong JL FAU - McNeer, Jennifer L AU - McNeer JL LA - eng PT - Journal Article PL - United States TA - Pediatr Ann JT - Pediatric annals JID - 0356657 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Child MH - Female MH - Hematologic Diseases/*therapy MH - Humans MH - Immunoglobulins, Intravenous/adverse effects/*therapeutic use MH - Infant MH - Pediatrics MH - Treatment Outcome EDAT- 2017/01/13 06:00 MHDA- 2017/05/04 06:00 CRDT- 2017/01/13 06:00 PHST- 2017/01/13 06:00 [entrez] PHST- 2017/01/13 06:00 [pubmed] PHST- 2017/05/04 06:00 [medline] AID - 10.3928/19382359-20161213-01 [doi] PST - ppublish SO - Pediatr Ann. 2017 Jan 1;46(1):e13-e18. doi: 10.3928/19382359-20161213-01.