[CIS PIDD] [cis-pidd] DiGeorge and live virus vaccines

[fabrício prado monteiro]

Discart HIV

On 9 August 2013 15:16, Sullivan, Kathleen <sullivak at mail.med.upenn.edu>wrote:


> There are two papers and one that is coming out soon.

>

> Overall- if you use HIV guidelines-safety seems assured.

>

>  On Aug 9, 2013, at 2:07 PM, Verbsky, James wrote:

>

>   Not sure we have any evidence for this…but we usually like to see a

> normal mitgens..then give varivax first since there is a treatment for any

> complications with this virus.  Would be interested in what others do?****

> ** **

> Best****

> ** **

> James****

> ** **

> ** **

> James W. Verbsky M.D./Ph.D.****

> Associate Professor of Pediatrics and Microbiology****

> Medical College of Wisconsin****

> Milwaukee, WI****

> 414-266-6701****

> ** **

> ** **

> ** **

>  *From:* Haines, Kathleen M.D. [mailto:KHaines at HackensackUMC.org]

> *Sent:* Friday, August 09, 2013 1:01 PM

> *To:* CIS-PIDD

> *Subject:* [cis-pidd] DiGeorge and live virus vaccines****

> ** **

>  I have a 2yo girl w/DiGeorge due/overdue for live virus vaccines.  She

> is in good health.  However her lymphocyte subsets are as follows:  WBC

> 2500; CD3 707; CD4 483; CD8 217; CD 56/16 178.  She has made good

> antibodies to tetanus and responded to 5/7 pneumococcal subtypes in

> Prevnar.   Overall Igs: IgG 615 mg/dL; IgA 18 mg/dL; IgM 35 mg/dL.  I

> haven’t done any lymphocyte functions.****

>  ****

> I’m usually happy to give the live vaccines when the CD8 is close to 300

> without any functional tests.  Should I go ahead and vaccinate w/ MMRV or

> hold off?  Opinions?****

>  ****

> *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

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> (f) 267-426-0363

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