[CIS PIDD] [cis-pidd] adult patient with auto-immunity and recurrent airway infections

[CIS-PIDD]

A 63-year-old woman who has been diagnosed with Sjögren syndrome and 
multiple sclerosis was referred to me because of recurrent upper and 
lower airway infections since 10 years, chronic cough, and 
bronchiectasis with the question whether she has immunodeficiency. She 
has not been using any immunosuppressive medication for many years, nor 
has she ever been treated with IVIG because of her MS.
Her lab shows auto-antibodies, hypergammaglobulinemia with IgG2 
deficiency, and partial polysaccharide antibody deficiency (details in 
the attachment, Ig's in g/l).
Should we consider her to be a patient with primarily auto-immune 
disease, or a patient with a form of primary immunodeficiency, and if 
so, which?
Your suggestions are welcome!
Esther de Vries, 's-Hertogenbosch/Tilburg, the Netherlands
---
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=3222544
or send a blank email to leave-3222544-96396833.5a9591ccd1e327fe6bc4d1543298c482 at lyris.dundee.net
-------------- next part --------------
A non-text attachment was scrubbed...
Name: 63-year-old woman.pdf
Type: application/pdf
Size: 107981 bytes
Desc: not available
URL: <https://pairlist7.pair.net/pipermail/pagid/attachments/20151020/db7cced2/attachment-0001.pdf>