[CIS-PAGID] Heterotopy w/polysplenia

[Junker, Anne]

We've been advised red blood cell pits are more reliable than Howell Jolley bodies.


Anne K. Junker, MD, FRCP(C)
Associate Professor, Pediatrics
Director, Clinical Immunology Service, BC Children's Hospital
Director, Clinical & Population Studies, Child & Family Research Institute
Co-Chair, Canadian Child & Youth Health Coalition
Director, Maternal Infant Child Youth Research Network of Canada/Reseau de Recherche en Sante des Enfant et des Meres (MICYRN)
K4-223 4480 Oak Street
Vancouver, British Columbia
Canada  V6H 3V4
phone: 604-875-3591
fax: 604-875-2414
email: ajunker at cw.bc.ca



From: pagid-bounces at list.clinimmsoc.org [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Kobrynski, Lisa
Sent: Tuesday, February 14, 2012 11:00 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia


How do you decide if the spleen(s) are functional?




Lisa Kobrynski, MD, MPH
Associate Professor of Pediatrics
Section, Allergy/Immunology
________________________________
From: pagid-bounces at list.clinimmsoc.org [pagid-bounces at list.clinimmsoc.org] on behalf of Haines, Kathleen M.D. [KHaines at HackensackUMC.org]
Sent: Tuesday, February 14, 2012 11:44 AM
To: 'pagid at list.clinimmsoc.org'
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia
Cardiac defect and heterotopy.

Kathleen A. Haines, MD
Section Chief, Pediatric Immunology
Section of Pediatric Rheumatology & Immunology
Hackensack UMC
30 Prospect Ave.
Hackensack, NJ 07601

Tel: 551-996-5306
Fax: 201-996-9815
khaines at HackensackUMC.org

[cid:image001.png at 01CCEB11.380DC660]


From: pagid-bounces at list.clinimmsoc.org [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Sorensen, Ricardo
Sent: Tuesday, February 14, 2012 10:11 AM
To: pagid at list.clinimmsoc.org; pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia


What was the reason that the patients was detected to have polysplenia?

Ricardo Sorensen


-----Original Message-----
From: pagid-bounces at list.clinimmsoc.org on behalf of Jyonouchi, Soma C
Sent: Tue 2/14/2012 9:03 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia

When the patient is old enough I would also recommend assessing response to pneumococcal vaccination as part of the functional evaluation of the spleen.  I typically check encapsulated bacteria vaccine titers 2 times a year and re-vaccinate if necessary for my asplenic patients especially if they are unwilling to prophylax.



Soma J



From: pagid-bounces at list.clinimmsoc.org [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Sullivan, Kathleen
Sent: Tuesday, February 14, 2012 9:48 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] Heterotopy w/polysplenia



I don't prophylax if the spleen is functional.

On Feb 14, 2012, at 8:41 AM, Haines, Kathleen M.D. wrote:





What are people's thoughts about antibiotic prophylaxis for infants with polysplenia but good uptake on spleen scans and no Howell-Jolley bodies on smear?  And for how long would one prophylax?  Mom is very resistant to "drugs".



Kathleen A. Haines, MD

Section Chief, Pediatric Immunology

Section of Pediatric Rheumatology & Immunology

Hackensack UMC

30 Prospect Ave.

Hackensack, NJ 07601



Tel: 551-996-5306

Fax: 201-996-9815

khaines at HackensackUMC.org



<image001.png>





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Kate Sullivan, MD PhD
Professor of Pediatrics
ARC 1216 Immunology CHOP
3615 Civic Center Blvd.
Philadelphia, PA 19104
(p) 215-590-1697

(f) 267-426-0363





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