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- ArticleBricarelli FD, DeLanglade E, LaFauci F, Moscatelli P.Blut. 1977 Mar;34(3):197-200.A case of selective deficiency of IgG and IgA, in a 13-year old girl, is described. Immunologic investigations, showing an almost complete absence of IgG- and IgA-bearing lymphocytes and significant amounts of IgD and IgM positive cells, suggest the possibility of a block in the shift from IgM to IgG synthesis at the B lymphocyte level.