[CIS PIDD] [cis-pidd] Positive NB Screen

[Richard Wasserman]

The data shown are all that I have to date. I am trying to be parsimonious
in the phlebotomies and wanted some input before drawing more lab.
Richard


On Fri, Sep 6, 2013 at 2:40 PM, Harville, Terry O
<HarvilleTerryO at uams.edu>wrote:


>  *Richard,*

>

> * *

>

> *We see values like this in the Partial DiGeorge setting.*

>

> * *

>

> *Were CD45RO and CD45RA evaluated?*

>

> * *

>

> *Terry Harville MD PhD*

>

> *-Medical Director, Special Immunology Laboratory*

>

> *-Medical Director, Histocompatibility Laboratory*

>

> *-Medical Director, Immunogenetics and Transplantation Laboratory*

>

> *-Specialist in Pediatric Immunology and Rheumatology*

>

> *Departments of Pathology and Laboratory Services and Pediatrics*

>

> *University of Arkansas for Medical Sciences*

>

> *4301 West Markham*

>

> *Mail Slot #502*

>

> *Little Rock, AR  72205-7199*

>

> * *

>

> *Work Phone

> 1.....................................................................

> 501.686.7257*

>

> *Work Phone

> 2.....................................................................

> 501.526.7511*

>

> *Work Phone

> 3.....................................................................

> 501.686.7556*

>

> *Work Phone

> 4.....................................................................

> 501.364.1885*

>

> *Work Fax

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> 501.686.7443*

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> 501.526.4621*

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> * *

>

> *

> Email..............................................................harvilleterryo at uams.edu

> *

>

> * *

>

> *Special Immunology Laboratory......................................

> 501.364.1804*

>

> *Histocompatibility Laboratory..........................................

> 501.686.7257*

>

> *Immunogenetics and Transplantation Laboratory.........501.686.7374*

>

> * *

>

> *From:* Richard Wasserman [mailto:drrichwasserman at gmail.com]

> *Sent:* Friday, September 06, 2013 2:20 PM

> *To:* CIS-PIDD

> *Subject:* [cis-pidd] Positive NB Screen****

>

> ** **

>

> I have been evaluating a normal term female with an abnormal SCID screen

> of "very low TRECs". The available data are below:****

>

> ** **

>

> Day of life 38****

>

> Day of life 62****

>

> Abs.CD19+ Lymphs L 544 (/uL) 600-1900 01****

>

> Absolute CD 3 L 718 (/uL) 2300-7000 01****

>

> Absolute CD 4 Helper L 538 (/uL) 1700-5300 01****

>

> Abs. CD 8 Suppressor L 178 (/uL) 400-1700 01****

>

> Ab NK (CD56/16) 482 (/uL) 200-1400 01****

>

> WBC L 3.9 (x10E3/uL) 5.0-12.4 01****

>

> Abs.CD19+ Lymphs 1059 (/uL) 600-1900 01****

>

> Absolute CD 3 L 957 (/uL) 2300-7000 01****

>

> Absolute CD 4 Helper L 682 (/uL) 1700-5300 01****

>

> Abs. CD 8 Suppressor L 267 (/uL) 400-1700 01****

>

> Ab NK (CD56/16) 795 (/uL) 200-1400 01****

>

> WBC 5.1 (x10E3/uL) 5.0-12.4****

>

> Day of life 25 PHA = 47%, IgM = 10ml/dL****

>

> PHA day of life 47 = 111%****

>

> Adenosine deaminase 15.02****

>

>  ****

>

> ** **

>

> She has been well. As you can see, her PHA normalized and her counts are

> improving. I'd appreciate suggestions for further evaluation.****

>

> ** **

>

> Richard Wasserman****

>

> Dallas****

>

> --

> Richard L. Wasserman, MD, PhD

> DallasAllergyImmunology

> 7777 Forest Lane, Suite B-332

> Dallas, Texas 75230

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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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