[CIS PIDD] [cis-pidd] Patient question with low T & B cells

[Wiens, Lynn A MD]

Thanks, she will be getting that soon. 

 

Lynn A. Wiens, MD

Cell: 918-550-1200

http://tulsaallergynews.com <http://tulsaallergynews.com> 

 

 

From: Paris, Kenneth [mailto:kparis at lsuhsc.edu] 
Sent: Friday, April 04, 2014 12:45
To: CIS-PIDD
Subject: Re: [cis-pidd] Patient question with low T & B cells

 

In that age group and with those symptoms, I would definitely consider a
thymoma.  She needs a chest CT. 

 

Ken Paris MD

LSU Health Sciences Center

New Orleans, LA

 

Sent from my Verizon Wireless 4G LTE DROID



"Wiens, Lynn A MD" <lawiens at saintfrancis.com> wrote:

I have a 52 y/o white female who came to the office with oral thrush and
persistent coughing. Her PFTs are unremarkable and her oral thrush
resolved with Diflucan.  As part of her evaluation, I obtained a
lymphocyte panel which reveals the following (I did repeat the test to
confirm)

1.       CD4+/CD3+  46 (nl 410-1590)

2.      CD8+/CD3+ 1678 (nl 190-1120)

3.      CD4+/CD8+ 0.03 (0.90-3.5)

4.      CD19 B lymphs 20 (200-1300)

She has surprisingly good antibody levels given her low CD19 cts.  My
question is:

1.      Other than oral thrush, she doesn't have serious infections yet.
Is there any additional evaluation you would recommend?

2.      Any other treatment at this time in addition to supportive care?
I am quite concerned with that low CD4+ and CD 19 counts...how do I
prevent the "time bomb?"

Thanks to all!

Lynn A. Wiens, MD

Warren Clinic

6160 South Yale Avenue  Tulsa, OK 74136

Specializing in the care of Allergy, Asthma, Sinus disease, and Chronic
Infections

http://tulsaallergynews.com <http://tulsaallergynews.com> 

Office: 918-495-2636

Cell: 918-550-1200

 

________________________________


Saint Francis Health System intends this email only for the use of the
person to whom it is addressed and may contain information that is
privileged, confidential, and exempt from disclosure under applicable
law. If you have received this email in error, you are hereby notified
that we do not consent to any reading, dissemination, distribution, or
copying of this email and request you notify the sender immediately and
destroy this transmission. Violators may be prosecuted under Federal
law.

 

---

The CIS-PIDD listserv is supported by:

 <http://www.clinimmsoc.org/UserFiles/image/cis-pidd-list-logo_v1.jpg> 
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org
<https://cis.execinc.com/edibo/Signup>  to join!

You are currently subscribed to cis-pidd as: kparis at lsuhsc.edu.
To unsubscribe click here: 
http://lm.clinimmsoc.org/u?id=183824708.5e686cf2c41d9f24a2a9b01fc817720d
&n=T&l=cis-pidd&o=44741790

---

The CIS-PIDD listserv is supported by:

 <http://www.clinimmsoc.org/UserFiles/image/cis-pidd-list-logo_v1.jpg> 
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org
<https://cis.execinc.com/edibo/Signup>  to join!

You are currently subscribed to cis-pidd as: lawiens at saintfrancis.com.
To unsubscribe click here: 
http://lm.clinimmsoc.org/u?id=205569483.8af3b12dfc95bd998719a38a280e311a
&n=T&l=cis-pidd&o=44741887


---
The CIS-PIDD listserv is supported by the Clinical Immunology Society
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org to join!

You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183939985.3ea13d40a15475ac00ebbd9cd8a37d6d&n=T&l=cis-pidd&o=44742035
or send a blank email to leave-44742035-183939985.3ea13d40a15475ac00ebbd9cd8a37d6d at lists.clinimmsoc.org
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/pipermail/pagid/attachments/20140404/5c1d113a/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: not available
Type: image/png
Size: 9272 bytes
Desc: image001.png
Url : <http://seven.pairlist.net/pipermail/pagid/attachments/20140404/5c1d113a/attachment-0002.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: not available
Type: image/png
Size: 10024 bytes
Desc: image002.png
Url : <http://seven.pairlist.net/pipermail/pagid/attachments/20140404/5c1d113a/attachment-0003.png>