[CIS PIDD] [cis-pidd] Immunodeficiency post-Fontan procedure

[Church, Joseph]

Jennifer:

Interesting you mention warts.  I am following a 10yo who has an IgG of 222 and CD4 count of 88 and who developed rapidly spreading plantar warts.

Do you have any suggestions in managing these?

JC

From: Heimall, Jennifer [mailto:heimallj at email.chop.edu]
Sent: Tuesday, November 12, 2013 1:26 PM
To: CIS-PIDD
Subject: RE:[cis-pidd] Immunodeficiency post-Fontan procedure


In general, these patients do quite well, without opportunistic infections except warts.


Jennifer Heimall, MD
The Children's Hospital of Philadelphia
Allergy/Immunology
3550 Market Street
3rd Floor
Philadelphia, PA 19104
phone: (267)426-9231[X]
________________________________
From: Church, Joseph [JChurch at chla.usc.edu]
Sent: Tuesday, November 12, 2013 4:23 PM
To: CIS-PIDD
Subject: [cis-pidd] Immunodeficiency post-Fontan procedure
Colleagues:

Protein losing enteropathy s/p Fontan procedure for hypoplastic left heart may result in severe hypogammaglobulinemia and T-lymphopenia.

Are these patients clinically immunocompromised?  i.e. do they experience opportunistic infections?

Joe Church
Children's Hospital Los Angeles



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