[PAGID] XLA and Spondyoarthritis

[Kate Sullivan]

Weird- I have a boy with XLA and a spondyloarthropathy.

No data on therapy as far as I know.
Kate
On May 3, 2010, at 4:05 PM, Church, Joseph wrote:


> Colleagues:

>  

> I have a 10yo with XLA and HLA-B27+ juvenile ankylosing spondylitis.  He is very adherent to his weekly SCIG infusions.

>  

> Our Rheumatologists tell me they would start anti-TNF+/- methotrexate if he did not have XLA.

>  

> At how much greater risk for infection is he from this suggested treatment versus a patient without a primary immune deficiency?  

>  

> Thank you for your help.

>  

> Joe Church


Kathleen Sullivan MD PhD
Professor of Pediatrics
Chief, Division of Allergy Immunology
The Children's Hospital of Philadelphia
(p) 215-590-1697
(f) 267-426-0363




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