[CIS PIDD] [cis-pidd] Patient question

[Richard Wasserman]

I saw a 54 year old woman with no history of infections until she had to
take in her grandson as a toddler. By the time he was six or seven she had
had a sinus surgery and was chronically infected. I don't recall precisely
but I don't think she had any chest infections. She had Selective IgA
Deficiency with a robust response pneumococcal polysaccharide vaccine. With
aggressive nasal hygiene and prophylactic antibiotics she did well enough
until her grandson stopped bringing things home at which point she stopped
antibiotics and did well.

Richard Wasserman
Dallas


On Mon, Mar 4, 2013 at 8:57 PM, Church, Joseph <JChurch at chla.usc.edu> wrote:


>  Colleagues:

>

> I saw a young adult with CVID today.  He has just gotten engaged and asked

> the following:  when he has children how much of an infectious risk do *

> they* present to *him*?****

>

> ** **

>

> I *guess* they present an increased risk for viral respiratory

> infections, but between appropriate immunizations of the kids and his

> excellent adherance with SCIG infusions he should be at no increased risk

> for life-threatening infections.****

>

> ** **

>

> Any other thoughts?****

>

> ** **

>

> Joe Church****

>

> Children's Hospital Los Angeles****

>

>

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-- 
Richard L. Wasserman, MD, PhD
DallasAllergyImmunology
7777 Forest Lane, Suite B-332
Dallas, Texas 75230
Office (972) 566-7788
Fax (972) 566-8837
Cell (214) 697-7211

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