[CIS-PAGID] CVID Risk for children
Cunningham-Rundles, Charlotte
charlotte.cunningham-rundles at mssm.edu
Mon May 7 10:35:22 EDT 2012
I agree with Mary Ellen.
>From our data,
I use the figure 8% overall for immune deficiency but of those only 2% of
the group have CVID in any other member, the rest were IgA deficient.
Note the older literature that also says that the female is more likely (4x
I think) to pass this on than the male with CVID. Not something I can
address from our data, as we have more sibs with unaffected parents than any
other combination.
As for TACI, the 50% rule does not really work as the majority have non
immune deficient family members ( one parent and sometimes a sib or child)
with the same mutation.
Charlotte Cunningham-Rundles, MD, PhD
Departments of Medicine and Pediatrics
The David S Gottesman Professor
The Immunology Institute
Mount Sinai School of Medicine
1425 Madison Avenue
New York, NY 10029
Phone: 212 659 9268
Fax: 212 987 5593
Email: Charlotte.Cunningham-Rundles at mssm.edu
> From: "Church, Joseph" <JChurch at chla.usc.edu>
> Reply-To: PAGID <pagid at list.clinimmsoc.org>
> Date: Mon, 7 May 2012 14:16:35 +0000
> To: PAGID <pagid at list.clinimmsoc.org>
> Subject: Re: [CIS-PAGID] CVID Risk for children
>
> I thank you all for the very useful information. JC
>
> -----Original Message-----
> From: pagid-bounces at list.clinimmsoc.org
> [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Conley, Mary Ellen
> Sent: Monday, May 07, 2012 7:11 AM
> To: pagid at list.clinimmsoc.org
> Subject: Re: [CIS-PAGID] CVID Risk for children
>
> I use the same figure as Bodo - 10% but I come at it from a slightly different
> perspective. Like Bodo, I consider the percentage of patients with CVID who
> have affected family members. But some of that 10% is not really CVID - it
> may be IgA deficiency or abnormal serum immunoglobulins that are detected
> because of family studies rather than repeated or unusual infections. It may
> be autoimmune disease. I also have a gut feeling, but no data, that with the
> sickest patients, the risk may be a little higher.
>
> Mary Ellen Conley, MD
> West Research Tower
> LeBonheur Children's Hospital
> 50 N. Dunlap St.
> Memphis TN 38103-2800
> Tel 901-287-4657
> FAX 901-287-4551
> mconley at uthsc.edu<mailto:mconley at uthsc.edu>
>
> -----Original Message-----
> From: pagid-bounces at list.clinimmsoc.org
> [mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Grimbacher, Bodo
> Sent: Saturday, May 05, 2012 4:34 PM
> To: pagid at list.clinimmsoc.org
> Subject: Re: [CIS-PAGID] CVID Risk for children
>
> I tell my patients 10%.
> Why?
> A maximum of 10-20% of CVID patients are familial (10% in AD families, and
> suspected additional 10% with new mutations).
> So assuming 20% of CVID patients have a Mendelian form of CVID, and most of
> them seem to be autosomal-dominant, I In AD traits the risk of any offspring
> is 50%.
> therefore arrive at an overall risk of 10% for an offspring of newly diagnosed
> CVID patients.
> Yours,
> Bodo Grimbacher
> CCI- Centre of Chronic Immunodeficiency
> Freiburg, GERMANY
>
>
> Am 05.05.12 01:27 schrieb "Church, Joseph" unter <JChurch at chla.usc.edu>:
>
>> Colleagues:
>>
>> I just consulted on a 34yo man with probable CVID. He and his wife
>> have no other medical issues.
>>
>> They asked "what is the liklihood that their children (yet to be
>> conceived) will develop CVID?".
>>
>> I would appreciate any insight (?data) you may have.
>>
>> Thank you.
>>
>> Joe Church
>> Children's Hospital Los Angeles
>>
>>
>>
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>
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>
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