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Table 4 Frequency of intrathecal IgM and IgA synthesis, IgM and IgA CSF/serum ratios, intrathecal IgM and IgA fractions, amount of locally produced IgM and IgA, and absolute IgM and IgA concentrations in the CSF and serum in group I

From: Cerebrospinal fluid findings in COVID-19: a multicenter study of 150 lumbar punctures in 127 patients

 

Units

Total

 ≤ 14 d

 > 14 d

Acute B/SC subgroup

Acute PN/CN/H subgroup

Intrathecal IgA synthesis

 QIgA > Qlim(IgA)

Samples

1/101 (1%)

0/72 (0%)

1/19 (5%)

0/59 (0%)

0/12 (0%)

 QIgA, all LPs

2.1 (0.4–17.6;101)

2.1 (0.6–17.6;72)

2.4 (0.7–6.6;19)

2.19 (0.56–17.6;59)

1.78 (0.69–7;12)

 QIgA, if positive

6.6 (6.6–6.6;1)

n.a. (n.a.;0)

6.6 (6.6–6.6;1)

n.a. (n.a.;0)

n.a. (n.a.;0)

 IgA-IF, all LPs

% IgA(CSF)

0 (0–3.2;101)

0 (0–0;72)

0 (0–3.2;19)

0 (0–0;59)

0 (0–0;12)

 IgA-IF, QIgA positives

% IgA(CSF)

3.2 (3.2–3.2;1)

n.a. (n.a.;0)

3.2 (3.2–3.2;1)

n.a. (n.a.;0)

n.a. (n.a.;0)

 IgA-IF, > 10%

Samples

0/101 (0%)

0/72 (0%)

0/19 (0%)

0/59 (0%)

0/12 (0%)

 IgA-loc, all LPs

mg/l

0 (0–0.8;101)

0 (0–0;72)

0 (0–0.8;19)

0 (0–0;59)

0 (0–0;12)

 IgA-loc, QIgA positives

mg/l

0.8 (0.8–0.8;1)

n.a. (n.a.;0)

0.8 (0.8–0.8;1)

n.a. (n.a.;0)

n.a. (n.a.;0)

 IgA CSF

mg/l

6.04 (0.9–56.3;101)

6.38 (1.02–56.3;72)

7.01 (1–26.1;19)

7.01 (1.29–56.3;59)

5.22 (1.02–28.5;12)

 IgA serum

g/l

3.11 (0.87–7.29;106)

3.1 (0.87–7.29;72)

3.16 (0.9–6.5;20)

3.1 (0.87–7.29;59)

2.89 (1–6.14;12)

 IgA serum, elevated

Samples

31/106 (29%)

20/72 (27.8%)

7/20 (35%)

16/59 (27%)

4/12 (33%)

Intrathecal IgM synthesis

 QIgM > Qlim(IgM)

Samples

4/100 (4%)

2/72 (3%)

0/19 (0%)

2/58 (3%)

0/13 (0%)

 QIgM, all LPs

0.5 (0.1–20.2;100)

0.5 (0.1–20.2;72)

0.4 (0.1–1.6;19)

0.56 (0.11–20.2;58)

0.5 (0.16–4.96;13)

 QIgM, if positive

4.2 (1–20.2;4)

12.6 (4.9–20.2;2)

n.a

12.56 (4.9–20.2;2)

n.a. (n.a.;0)

 IgM-IF, all LPs

% IgM(CSF)

0 (0–49.2;100)

0 (0–12.1;72)

0 (0–0;19)

0 (0–12.1;58)

0 (0–0;13)

 IgM-IF, QIgM positives

% IgM(CSF)

21.7 (11.6–49.2;4)

11.8 (11.6–12.1;2)

n.a. (n.a.;0)

11.8 (11.6–12.1;2)

n.a. (n.a.;0)

 IgM-IF, > 10%

Samples

4/100 (4%)

2/72 (2.8%)

0/19 (0%)

2/58 (3.4%)

0/13 (0%)

 IgM-loc, all LPs

mg/l

0 (0–2.1;100)

0 (0–2.1;72)

0 (0–0;19)

0 (0–2.1;58)

0 (0–0;13)

 IgM-loc, QIgM positives

mg/l

0.88 (0.46–2.11;4)

1.32 (0.53–2.11;2)

n.a

1.3 (0.5–2.1;2)

n.a. (n.a.;0)

 IgM CSF

mg/l

0.49 (0.1–18.2;100)

0.5 (0.1–18.2;72)

0.49 (0.2–2.54;19)

0.5 (0.14–18.2;58)

0.44 (0.1–6.2;13)

 IgM serum

g/l

0.86 (0.04–3.98;106)

0.9 (0.1–3.98;73)

0.81 (0.31–2.1;19)

0.9 (0.1–3.98;59)

0.9 (0.5–2.51;13)

 IgM serum, elevated

Samples

6/106 (6%)

5/73 (6.8%)

0/19 (0%)

4/59 (7%)

1/13 (8%)

  1. Quotients, concentrations, and fractions are given as medians (with ranges and samples numbes in brackets). B/SC brain spinal cord, PN/CN/H peripheral nerve/cranial nerve/headache only, QIgG/A/M CSF/serum IgG/A/M ratio, IgG/A/M IF intrathecally produced IgG/IgA/IgM fraction, IgG/A/M loc locally (intrathecally) produced IgG/A/M, LP lumbar puncture