[PAGID] lymphopenia

Ashish Kumar kumar036 at umn.edu
Wed Jan 7 10:06:08 EST 2009


Richard,

I would agree with your conservative approach. We can drive ourselves
and patient families insane by doing more investigations that may not be
clearly indicated, resulting in more abnormal results that we will be
unable to explain. The best test in this case is time and so far it has
shown no abnormalities.
Ashish

Ashish Kumar, MD, PhD
Assistant Professor of Pediatrics
Division of Hematology/Oncology/Blood and Marrow Transplantation
University of Minnesota

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Richard L. Wasserman wrote:

> No abnormal nodes, tonsils are present.DTH testing was not done.

>

>

> He is not delayed but has had anxiety and depression. There are no

> other findings suggestive of 22q- .

>

> Several suggestions were interesting on further work up but my

> question is, in a lymphopenic teenager with no clinical history

> suggestive of immunodeficiency nor autoimmunity, is further work up

> needed?

> Richard L. Wasserman, MD,PhD

>

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