Micro & Immunology · single question

A patient presents with an acute illness. Which immunoglobulin is ELEVATED FIRST?

  1. IgA
  2. IgM
  3. IgE
  4. IgG
Show answer and explanation

Correct answer: B. IgM

IgM is the first immunoglobulin produced in response to a new antigen — it characterizes the acute/primary immune response.
  • A. ❌ IgA is the secretory immunoglobulin in mucosal secretions; not the first systemic response.
  • B. ✅ CORRECT – IgM is the first antibody produced; elevated IgM indicates recent/current acute infection.
  • C. ❌ IgE mediates type I hypersensitivity; not the primary acute infection antibody.
  • D. ❌ IgG is produced later; dominant in the secondary response.

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