[CIS PIDD] [cis-pidd] CVID and diarrhoea

[Joshi, Avni Y., M.D.]

Dear Panida and Carla,
If you missed this article on norovirus in CVID and the role of ribavirin:
http://www.nature.com/ajg/journal/v110/n2/full/ajg2014432a.html

Thanks,
Avni

Avni Joshi
Mayo Clinic
From: Sriaroon, Panida [mailto:psriaroo at health.usf.edu]
Sent: Thursday, May 21, 2015 10:24 AM
To: CIS-PIDD
Subject: Re:[cis-pidd] CVID and diarrhoea


Hi Carla,



We have a teenager with CVID and leukopenia, who has suffered from chronic norovirus enteritis which causes diarrhea and weight loss. Did you look for norovirus in your patient? Our patient did not respond to oral IgG therapy, and he is still shedding the virus.



Panida


Panida Sriaroon, MD
Associate Professor
Associate Director, Fellowship Program
Associate Director, USF/All Children's Hospital Allergy/Immunology clinic
Beeper 727.825.4379
Office 727.553.3521
E-mail:psriaroo at health.usf.edu
________________________________
From: Neumann, Carla Dr.med. <Carla.Neumann at med.uni-muenchen.de<mailto:Carla.Neumann at med.uni-muenchen.de>>
Sent: Thursday, May 21, 2015 10:34 AM
To: CIS-PIDD
Subject: [cis-pidd] CVID and diarrhoea


Dear Colleagues,

I treat a 46 year old patient with CVID (with autoimmune manifestations in the past with sarcoid like granuloma, splenomegaly and lymphadenopathy, recurrent pancytopenia and erosive rheumatoid arthritis). The patient is currently suffering from newly onset leucopenia  (800/µl) of unknown origin (to us) and from intractable diarrhoea for several months (no infectious cause, no inflammatory bowel disease in colonoscopy, gluten free diet because it was beneficial to her in the past). The rheumatoid arthritis was treated with rituximab more than 1 year ago and prednisolone 5mg/day.

I would appreciate your help concerning the questions:

-          Ideas for treating the diarrhoea (patient is cachectic due to the massive diarrhoea)

-          Ideas concerning the cause of leucopenia (could the cachexia be the cause?)



Thank you !



Yours

Carla Neumann

Outpatient clinic for adult immunodeficiency, Munich, Germany





__________________________________

Dr. med. Dr. med. univ. Carla Neumann

Internistin/Rheumatologin

AIDA - adulte Immundefektambulanz

Rheumaeinheit

Med. Klinik und Poliklinik IV

Klinikum der Universität München

Pettenkoferstrasse 8a

80336 München

Tel: 089/44005-3568

Fax: 089/44005-3719



---

You are currently subscribed to cis-pidd as: psriaroo at health.usf.edu<mailto:psriaroo at health.usf.edu>.

To unsubscribe click here: http://cts.dundee.net/u?id=96396855.3a399c112b5ca621c6e73dd6a5d3f850&n=T&l=cis-pidd&o=2848944

(It may be necessary to cut and paste the above URL if the line is broken)

or send a blank email to leave-2848944-96396855.3a399c112b5ca621c6e73dd6a5d3f850 at lyris.dundee.net<mailto:leave-2848944-96396855.3a399c112b5ca621c6e73dd6a5d3f850 at lyris.dundee.net>

---

You are currently subscribed to cis-pidd as: joshi.avni at mayo.edu<mailto:joshi.avni at mayo.edu>.

To unsubscribe click here: http://cts.dundee.net/u?id=96396688.3ed09444c001b24ea29db009bfef3c7d&n=T&l=cis-pidd&o=2849191

(It may be necessary to cut and paste the above URL if the line is broken)

or send a blank email to leave-2849191-96396688.3ed09444c001b24ea29db009bfef3c7d at lyris.dundee.net<mailto:leave-2849191-96396688.3ed09444c001b24ea29db009bfef3c7d at lyris.dundee.net>

---
You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://cts.dundee.net/u?id=96396833.5a9591ccd1e327fe6bc4d1543298c482&n=T&l=cis-pidd&o=2849304
or send a blank email to leave-2849304-96396833.5a9591ccd1e327fe6bc4d1543298c482 at lyris.dundee.net
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://pairlist7.pair.net/pipermail/pagid/attachments/20150521/876fdb34/attachment-0001.html>