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A longitudinal study of class and subclass antibody response to pneumococcal vaccination in splenectomized individuals with special reference to patients with Hodgkin's disease
Author(s) -
Grimfors G.,
Söderqvist M.,
Holm G.,
Lefvert A. K.,
Björkholm M.
Publication year - 1990
Publication title -
european journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 84
eISSN - 1600-0609
pISSN - 0902-4441
DOI - 10.1111/j.1600-0609.1990.tb00426.x
Subject(s) - splenectomy , medicine , vaccination , pneumococcal vaccine , immunology , thrombocytopenic purpura , antibody , subclass , gastroenterology , streptococcus pneumoniae , immune system , spleen , bacteria , biology , genetics
Antibody class and subclass response to pneumococcal vaccination was monitored in 173 splenectomized individuals. The distribution according to indication for splenectomy was Hodgkin's disease (HD; n = 41), non‐Hodgkin lymphoma (NHL; n = 25), autoimmune hemolytic anemia or idiopathic thrombocytopenic purpura (n = 17), accidental splenectomy during abdominal surgery for malignant (AMA; n = 15) and benign (ABE; n = 42) disease and splenectomy due to splenic rupture caused by trauma (TRAUMA; n = 33). Pre‐vaccination total IgG pneumococcal antibody values (i.e. against the whole antigen = the vaccine) in the NHL patients were lower than in the ABE and TRAUMA groups (p<0.05). The response to vaccination in HD and NHL patients did not differ from that in the other patient groups. Furthermore, pre‐vaccination values did not differ between HD patients vaccinated before splenectomy and treatment and those vaccinated after, although the f