Differences in onset of immune response to PF4/heparin by immunoglobulin classes in individual patients
Ig class . | Same day, % . | Plus or minus 1 day, % . | More than 1 day, % . | n . |
---|---|---|---|---|
IgG-IgM | 53.5 | 25.6 | 20.9 | 43 |
IgG-IgA | 44.9 | 34.7 | 20.4 | 49 |
IgM-IgA | 35.0 | 40.0 | 25.0 | 40 |
Ig class . | Same day, % . | Plus or minus 1 day, % . | More than 1 day, % . | n . |
---|---|---|---|---|
IgG-IgM | 53.5 | 25.6 | 20.9 | 43 |
IgG-IgA | 44.9 | 34.7 | 20.4 | 49 |
IgM-IgA | 35.0 | 40.0 | 25.0 | 40 |
The table shows the differences in onset of the immune response (in days) between the Ig classes IgG, IgM, and IgA in the 58 patients who reacted with at least 2 Ig classes to PF4/heparin complexes. Most IgG and IgM immune responses first became detectable on the same day or within only 1 day. This indicates that the pattern of the immune response in HIT does not follow the pattern of either a classic primary immune response (ie, initial formation of IgM antibodies, followed several days later by IgG antibodies) or a secondary immune response (ie, primarily IgG antibodies with an associated weak IgM response).