Complement deficiencies

Last reviewed: 5 Apr 2025
Last updated: 22 Nov 2024

Summary

Details

  • Introduction
  • Complement physiology
  • Inherited complement deficiencies
  • Epidemiology
  • Clinical presentation
  • Diagnostic tests
  • Management
  • Guidelines
Full details

Contributors

Authors

Michael Kirschfink, DVM, PhD

Professor of Immunology

Consultant Immunologist

German Society of Immunology

International Union of Immunological Societies

International Complement Society

Institute of Immunology

University of Heidelberg

Heidelberg

Germany

Disclosures

MK has sat on Roche and Euro Diagnostica advisory boards; presented a lecture for Novartis; and acted as a consultant for Back Bay Life Science Advisors, Biotest, Ionis Pharmaceuticals, Fresenius Care Germany, and Ablynx. MK is an author of references cited in this topic.

Acknowledgements

Professor Michael Kirschfink would like to gratefully acknowledge Dr D. J. Unsworth, a previous contributor to this topic.

Disclosures

DJU owns shares in Glaxo and Shire, and has had registration fees paid for CPD attendance at international conferences by ALK-Abelló (2015 - EACCI - Allergy) and CSL - Bearing (2016 - ESID - Immunodeficiency).

Peer reviewers

Charles Kirkpatrick, MD (UCHSC)

Professor of Medicine

Director

Adult Immunodeficiency Program

University of Colorado Denver

Aurora

CO

Disclosures

CK is an author of a reference cited in this topic. CK has received speaker fees from Cention, Aventis Behring, and Bristol Myers Squibb. CK has received honorarium for speaking at the Aspen Allergy Conference, for the Colorado Allergy Society. CK ran the research program for a biotechnology company with an approximate budget of $3.5 million.

References

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Key articles

Schröder-Braunstein J, Kirschfink M. Complement deficiencies and dysregulation: Pathophysiological consequences, modern analysis, and clinical management. Mol Immunol. 2019 Oct;114:299-311. Abstract

Grumach AS, Kirschfink M. Are complement deficiencies really rare? Overview on prevalence, clinical importance and modern diagnostic approach. Mol Immunol. 2014 Oct;61(2):110-7. Abstract

Maurer M, Magerl M, Betschel S, et al. The international WAO/EAACI guideline for the management of hereditary angioedema-The 2021 revision and update. Allergy. 2022 Jul;77(7):1961-90.Full text  Abstract

Brodszki N, Frazer-Abel A, Grumach AS, et al. European Society for Immunodeficiencies (ESID) and European Reference Network on Rare Primary Immunodeficiency, Autoinflammatory and Autoimmune Diseases (ERN RITA) complement guideline: deficiencies, diagnosis, and management. J Clin Immunol. 2020 May;40(4):576-91.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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