[CIS PIDD] Post-Fontan hypogam

[Church, Joseph]

Colleagues:

I follow an 8yo boy with the following
            - Protein losing enteropathy (history of)
            - Fontan procedure for hypoplastic left heart
            - IgG 334 IgA 50 IgM58
            - CD3+ 26% (308), CD19 42% (478)
            - Serum albumin 4.7 mg/dL.

Has any one seen this pattern of immunodeficiency in the face of a very normal serum albumin level?

Thank you for your thoughts.

Joe Church
Children's Hospital Los Angeles


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