Does this test have other names?
IgA, IgE, IgG, IgM; immunology testing
What is this test?
This test measures the amount of antibodies called immunoglobulins in your blood.
Your immune system makes antibodies to fight off bacteria, viruses, and other invaders that could harm your health. Your body makes several types of immunoglobulin antibodies: M, G, A, and E. They are called IgM, IgG, IgA, and IgE. IgG is found in your blood and tissue. IgM is mostly found in your blood. IgA is found at high levels in fluid your mucus membranes make, such as saliva, tears, and nasal secretions. IgE is mostly attached to immune system cells in your blood.
Some people have deficiencies in one or more of these immunoglobulins, which puts them at risk for infections.
Why do I need this test?
You may need this test if your healthcare provider suspects that you have an immunoglobulin deficiency. Symptoms of a deficiency in IgG, IgA, or IgM include frequent or severe infections such as:
Viral lung infections
In children, this deficiency can cause poor growth and failure to thrive.
What other tests might I have along with this test?
Your healthcare provider may recommend other tests, such as:
Complete blood count, including measuring the amount of certain cells in your blood
Measurement of different proteins in your blood
Urinalysis to check for kidney problems
Check for other conditions that can affect your immune system, such as kidney disease and diabetes
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
Results may show low levels of one or more immunoglobulins. Depending on the specific kind, it may mean you have one of these problems:
Common variable immunodeficiency. This is a condition that causes the immune system to work poorly. It often shows up in young adults but may be diagnosed in children. It's marked by low IgG levels.
Ataxia telangiectasia. This is a rare genetic disorder that causes the immune system to break down. It tends to be disabling and fatal by the late teenage years.
Multiple myeloma and certain types of leukemia, which are types of cancer
Certain autoimmune diseases, such as system lupus erythematosus, rheumatoid arthritis, and Hashimoto thyroiditis
How is this test done?
The test is done with a blood sample. A needle is used to draw blood from a vein in your arm or hand.
Does this test pose any risks?
Having a blood test with a needle carries some risks. These include bleeding, infection, bruising, and feeling lightheaded. When the needle pricks your arm or hand, you may feel a slight sting or pain. Afterward, the site may be sore.
What might affect my test results?
No other factors can affect your test results.
How do I get ready for this test?
You don't need to prepare for this test. Be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
November 29, 2017
Laboratory evaluation of the immune system. UpToDate, Primary humoral immunodeficiencies: An overview. UpToDate.
Freeborn, Donna, PhD, CNM, FNP,Haldeman-Englert, Chad, MD