[CIS PIDD] [cis-pidd] Protein losing enteropathy

[Seppänen Mikko]

Dear Santhosh,

see also
https://www.clinimmsoc.org/education/tales-from-the-listserv

Where there is Dewton's wrap up.

Mikko

__________________________________________________
dos Mikko Seppänen
Immuunipuutosv-o

Mikko Seppänen, MD, PhD, Docent (Associate professor/Senior Lecturer)
Specialist in Internal Medicine and Infectious Diseases
Immunodeficiency Unit
Division of Infectious Diseases
Department of Medicine
Helsinki University Central Hospital
Hospital District of Helsinki and Uusimaa
Aurora Hospital, Ward 4-2 and Outpatient Clinic
P.O.Box 348
FI-00029 HUS, Helsinki
FINLAND
phone +358 9 47175923, fax +358 9 47175945
_________________________________________




Lähettäjä: Santhosh Kumar/FS/VCU [mailto:skumar at vcu.edu]
Lähetetty: 23. heinäkuuta 2014 23:58
Vastaanottaja: CIS-PIDD
Aihe: [cis-pidd] Protein losing enteropathy

Hello,
I would appreciate any input regarding this case. I tried to search the literature but  there is not much on this topic.
I am seeing a 4 y/o child in consultation with GI who has protein losing enteropathy which they are trying to figure out the cause. He has had an endoscopy and colonoscopy which are normal. His immunoglobulins are  trending down and most recent one is IgG 164, IgM 24, IgA 73. His lymphocyte enumeration is normal. His vaccine titers were low to start with but have responded well to vaccination challenge. He has no hx of recurrent infections. I was wondering if there is any reason to treat him with IVIG. The IgG level makes me little nervous but given his vaccine titers are protective i am willing to observe.

Thank you,

Santhosh Kumar, MD
Assistant Professor,
Training Program Director
Allergy & Immunology
Medical College of Virginia
Ph:804-628-1605
Fax-804-828-1751

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