[PAGID] CVID fatigue

[Charlotte Cunningham-Rundles]

I have had a couple with CVID  that have sx just like  CFS --- IvIg 
did not help there either. Don't know if this is cause and effect or 
what!

>I have a 58 yo previously healthy woman recently diagnosed with CVID (IgG
>400, low IgA, h/o respiratory infections) who has suffered from profound
>disabling persistent fatigue for the past year. Increasing her IgG dose has
>had no effect, nor is the fatigue cyclical related to her infusions.  We
>have looked for chronic infection or monoclonal gammopathy without any
>findings.  She was formerly a successful, high-powered attorney and appears
>very motivated to return to work but has "no energy".  I have a sizeable
>number of CVI patients in my practice and have seen associated fatigue, but
>not to this degree or intensity.
>
>Does anyone have experience with this?  Any suggestions are appreciated.
>
>
>Thanks,
>
>Marc
>
>Marc Riedl, M.D., M.S.
>Assistant Professor of Medicine
>Clinical Immunology and Allergy
>UCLA - David Geffen School of Medicine
>10833 Le Conte Ave, 52-175 CHS
>Los Angeles, CA  90095
>Tel 310.206.4345  Fax 310.206.8107
>
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-- 


Charlotte Cunningham-Rundles MD PhD
Professor of Medicine, Pediatrics  and Immunobiology
Mount Sinai School of Medicine
1425 Madison Ave, New York 10029
phone 212 659 9268
fax  212 987 5593
Email:  charlotte.cunningham-rundles at mssm.edu