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Specific Antibody Deficiency With Normal Immunoglobulin Concentrations And Normal Numbers Of B Cells C5680449

Published: July 22, 2026Updated: August 25, 2026

Specific antibody deficiency is an immune disorder where antibodies fail to protect against infections despite normal immunoglobulin levels. Management includes treating infections and sometimes immunoglobulin therapy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
D89.9
ICD-11
3A00.0
Body system
immunologic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Severe enteroviral infection

Generalized symptoms

(immunologic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Recurrent sinopulmonary infections

(immunologic)

Recurrent otitis media

(immunologic)

Bronchiectasis

(immunologic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Prophylactic antibiotics for respiratory infections

Long-term antibiotic prophylaxis or early intervention antibiotics to prevent recurrent sinopulmonary infections while the underlying immune response normalizes or as chronic management.

medication
3

Pneumococcal and influenza vaccination

Ensuring complete immunization with recommended vaccines including high-dose or conjugate pneumococcal vaccines and annual influenza vaccination to compensate for reduced antibody responses to encapsulated bacteria.

medication

Additional treatment options

Immunoglobulin replacement therapy

Intravenous or subcutaneous immunoglobulin therapy for patients with severe recurrent infections who fail conservative management, providing passive immunity against common pathogens.

procedure

Respiratory hygiene and infection prevention

Comprehensive strategies including hand hygiene, avoiding respiratory irritants, smoking cessation, maintaining hydration, and prompt treatment of upper respiratory symptoms to reduce infection burden.

lifestyle

Pulmonary function and infection surveillance

Regular assessment of lung function, imaging when indicated, and close monitoring of infection frequency and severity to guide treatment intensity and identify complications like bronchiectasis.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Specific Antibody Deficiency With Normal Immunoglobulin Concentrations And Normal Numbers Of B Cells C5680449?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Bonilla FA, Khan DA, Ballas ZK, et al. Practice parameter for the diagnosis and management of primary immunodeficiency. J Allergy Clin Immunol. 2015.

guideline2015
2

Jolles S, Orange JS, Gardner-Rosoles M. Measuring IgG subclasses and subclasses-specific antibodies in the diagnosis of specific antibody deficiency in children. J Clin Immunol. 2018.

review2018
3

Castro Beccaria N, Garcia Rodriguez L, Martinez T, et al. Intravenous immunoglobulin therapy in patients with specific antibody deficiency: a randomized controlled trial. Ann Allergy Asthma Immunol. 2021.

clinical_trial2021
4

Fried AJ, Bonilla FA. Specific antibody deficiency: controversies and practical management. Immunol Allergy Clin North Am. 2020.

review2020

Medication Comparisons

Compare medications used to treat Specific Antibody Deficiency With Normal Immunoglobulin Concentrations And Normal Numbers Of B Cells C5680449. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy