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Studies conducted in Europe suggest an association between IgG glycosylation abnormalities and rheumatoid arthritis (RA). Glycosylation abnormalities have been shown in other inflammatory diseases such as tuberculosis, systemic lupus erythematosus (SLE) and Crohn's disease. These observations led us to study glycosylation abnormalities among patients with RA and healthy controls in the tropics (sub-Saharan Africa). Using a lectin binding assay, we found that glycosylation differences were present in both groups when compared with British rheumatoid and healthy controls. This suggests that IgG glycosylation abnormalities may occur in association with chronic infections in the tropics.

Immunoglobulin (Ig) levels in 68 apparently normotensive and 29 hypertensive mothers were estimated at parturition. There was a significantly higher incidence of elevated IgG levels in the hypertensive group (p less than 0.005) even though there were no differences in their mean concentrations. The mean IgA levels were not different in the two groups. IgM levels were higher in the hypertensive than in the normotensive mothers. The significance of these findings is discussed.

The immune complexes in infantile hydrocephalic CSF in Nigerian children using a laser nephelometer were quantified. The values obtained were relatively low when compared with the serum levels. There was no evidence of selective admixture or of a breakdown of blood-brain-barrier (BBB). The low levels of immune complexes, when associated with implantation of shunt device for treatment of the hydrocephalus, may be a predisposing factor that can lead to overwhelming infection among this group of patients in a developing country like Nigeria. Between the hydrocephalic fluid and lumbar CSF, an IgG gradient was found.