[CIS-PAGID] Glycogen Storage Disease Type 1-b

[M CLAYTON]

Dear Colleagues:Does anyone have experience managing the neutropenia/impaired neutrophil function in Glycogen Storage Disease type 1-b?  I have a 16 year old boy with this disorder who seems to be having more frequent infections as he gets older despite maintaining normal ANC's with GCSF and/or Neulasta.  Metabolically, he has done OK with no major hypoglycemic episodes, and no discussion of liver transplant at this time.  He has had osteomyelitis and a cerbral abscess within the past 18 months, but has recovered from both.  Is there anything else that I should be doing for him?  Thanks in advance for your help. Michael H. Clayton, MD, MPHAssistant Clinical Professor of PediatricsUniversity of New Mexico 		 	   		  
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/mailman/private/pagid/attachments/20120214/db4b66a9/attachment.html>