[PAGID] lymphopenia

[Richard L. Wasserman]

No nodes. I haven't seen him. No DTH testing. The oncologist didn't 
mention tonsils.

Berger, Melvin wrote:

> Can he make a DTH reaction ?  Does he have palpable lymph nodes ?

>  

> Melvin Berger, M.D., Ph.D.

> Professor of Pediatrics and Pathology

> Case Western Reserve University

> phone 216 844 3237

>  

> Director, Jeffrey Modell Center for Primary Immune Deficiencies

> Division of Allergy-Immunology

> Rainbow, Babies and Children's Hospital

> University Hospitals of Cleveland

> RB&C Rm 504, MS 6008B

> 11100 Euclid Ave.

> Cleveland, OH 44106

>

> ________________________________

>

> From: pagid-bounces at list.clinimmsoc.org on behalf of Richard L. Wasserman

> Sent: Mon 1/5/2009 9:51 PM

> To: PAGID

> Subject: [PAGID] lymphopenia

>

>

>

> A 13-year-old boy was referred to heme/onc for evaluation of leukopenia

> of several years duration. He has no significant infections by history.

> He has been treated for neuropsychiatic problems with trileptal,

> welbutrin, Zoloft, Depakote and Concerta. At this time he only takes

> Concerta and has not had any other medication in more than six months.

>

> Physical examination was normal.

>

> Over the past five years lymphocyte counts have ranged from 500 to 1200.

> Most recently, B cell and NK cell number were normal; CD 4 was 300 and

> CD8 250.

>

> Does he need additional evaluation for this laboratory abnormality with

> no clinical correlate?

> Richard L. Wasserman, MD,PhD

> Dallas

>

>

>

>

> Visit us at www.UHhospitals.org.

>

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>

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