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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Pediatr. Jun 9, 2026; 15(2): 115247
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.115247
Letter to the Editor: Bridging the immunization gap in pediatric autoimmune disorders - insights from inflammatory bowel disease and vaccine response patterns
Hany Akeel Al-Hussaniy
Hany Akeel Al-Hussaniy, Department of Pharmacology, Al-Nisour University College, Baghdad 10001, Iraq
Author contributions: Al-Hussaniy HA contributed to wrote, corrected the article, analyzed the data, and writing the manuscript; the author had read and approved the final manuscript.
Conflict-of-interest statement: The author declares that he has no conflict of interest to disclose.
Corresponding author: Hany Akeel Al-Hussaniy, Professor, Department of Pharmacology, Al-Nisour University College, Baghdad Hayalkadsia, 602, 23, 17, Baghdad 10001, Iraq. hany_akeel2000@yahoo.com
Received: October 14, 2025
Revised: November 20, 2025
Accepted: February 2, 2026
Published online: June 9, 2026
Processing time: 213 Days and 9.3 Hours
Abstract

Autoimmune diseases represent serious conditions characterized by immune dysregulation, which compromises the body’s defense mechanisms and affects responses to infections and Vaccines. In addition to this, the treatment of these diseases involves mostly immunosuppressant’s. I read with great interest the study published in the World Journal of Clinical Pediatrics by Makarova et al, examining vaccines and antibody levels in children with inflammatory bowel disease (IBD), with a focus on enhancing children’s immune responses. Children with autoimmune diseases often show poor response to vaccines, which is attributed to their health condition and the immunosuppressive drugs used in treatment. One of the effective ways to protect these people in general and the children in specific is to follow personalized vaccination plans, or as mentioned in the research being discussed, to carry out revaccination and conduct serology tests and immunoglobulin G to ensure the effectiveness of vaccination plans. Those with diseases similar to IBD, and related diseases should conduct periodic checks after vaccination.

Keywords: Autoimmune diseases; Immunosuppressive; Vaccination; Immunization; Vaccines

Core Tip: Children with inflammatory bowel disease (IBD) may be more susceptible to other autoimmune diseases. They may also not get an adequate response to vaccines because of the medications they take to suppress their immunity. Recent studies have addressed this issue, especially in people with IBD, antibody levels, and vaccines, and their potential effectiveness, particularly against rubella and hepatitis B.

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