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e22    Part XIII  Consultative Hematology


          TABLE
         162.23   Plasma Levels of Immunoglobulin G in Males and Females, by Age
                                             Male                                          Female
         Age                Number         mg/dL             g/L          Number         mg/dL            g/L
         Soldin et al (1996) a
         1–30 days            61         260–986          2.60–9.86         56          221–1031       2.21–10.31
         31–182 days          52         195–643          1.95–6.43         60          390–794        3.90–7.94
         183–365 days         37         184–974          1.84–9.74         23          407–774        4.07–7.74
         1–3 years           105         507–1305         5.07–13.05       127          550–1407       5.50–14.07
         4–6 years           138         571–1550         5.71–15.50       135          675–1540       6.75–15.40
         7–9 years           111         700–1680         7.00–16.80       105          589–1717       5.89–17.17
         10–12 years         104         818–1885         8.18–18.85       115          705–1871       7.05–18.71
         13–15 years         104         709–1861         7.09–18.61       118          891–1907       8.91–19.07
         16–18 years         112         632–1979         6.32–19.79       100          953–2108       9.53–21.08
                                             Male/Female
         Age                         mg/dL                   g/L
         Lockitch et al (1988) b
         0–12 months              273–1660                2.73–16.60
         1–3 years                533–1078                5.33–10.78
         4–6 years                593–1723                5.93–17.23
         7–9 years                673–1734                6.73–17.34
         10–11 years              821–1835                8.21–18.35
         12–13 years              893–1823                8.93–18.23
         14–15 years              842–2013                8.42–20.13
         16–19 years              646–1864                6.46–18.64
         a Soldin SJ, Bailey J, Beatey J, et al: Pediatric reference ranges for immunoglobulins G, A, and M on the Behring nephelometer. Clin Chem 42:S308, 1996.
         b Lockitch G, Halstead AC, Quigley G, et al: Age- and sex-specific pediatric reference intervals: Study design and methods illustrated by measurement of serum proteins
         with the Behring LN nephelometer. Clin Chem 34:1618, 1988. Results are 0.025th to 0.975th fractiles.





                                      TABLE                          a
                                      162.24   Immunoglobulin G Subclasses
                                      Age              IgG1     IgG2    IgG3     IgG4
                                      Cord blood, preterm  3.4–9.7  0.7–1.7  0.2–0.5  0.2–0.7
                                      Cord blood, term  5.8–13.7  0.6–5.2  0.2–1.2  0.2–1.0
                                      5 years          5.6–12.7  0.4–4.4  0.3–1.0  0.1–0.8
                                      6 years          6.2–11.3  0.5–4.0  0.3–0.8  0.2–0.9
                                      7 years          5.4–10.5  0.9–3.5  0.3–1.1  0.2–1.1
                                      8 years          5.6–10.5  0.7–4.5  0.2–1.1  0.1–0.8
                                      9 years          3.9–11.4  0.7–4.7  0.4–1.2  0.2–1.0
                                      10 years         4.4–10.8  0.6–4.0  0.3–1.2  0.1–0.9
                                      11 years         6.4–10.9  0.9–4.3  0.3–0.9  0.2–1.0
                                      12 years         6.0–11.5  0.9–4.8  0.4–1.0  0.2–0.9
                                      13 years         6.1–11.5  0.9–7.9  0.2–1.1  0.1–0.8
                                      Adults           4.8–9.5  1.1–6.9  0.3–0.8  0.2–1.1
                                      a Values for males and females, expressed in g/L. Twenty schoolchildren from
                                      each age-group were tested. Only samples with C-reactive protein within the
                                      reference range were included. Enzyme-linked immunosorbent assay
                                      methodology was used on serum.
                                      From Miles J, Riches P: The determination of IgG subclass concentrations in
                                      serum by enzyme-linked immunosorbent assay: Establishment of age-related
                                      reference ranges for cord blood samples, children aged 5–13 years and adults.
                                      Ann Clin Biochem 31:245, 1994.
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