[CIS PIDD] [cis-pidd] Hyper IgA
CIS-PIDD
cis-pidd at lists.clinimmsoc.org
Wed Nov 23 10:08:21 EST 2016
I have followed a now 25 yo female with antibody deficiency and recurrent
sinusitis with rare chest infections for 21 years. She is currently
receiving IGSC 2.5g 6/7 days a week. She is followed by rheumatology for a
non-deforming seronegative spondyloarthropathy and been getting Remicade
for the past 18 months without much benefit. She is seldom infected and
denies GI symptoms and diarrhea.
Her IgA has been steadily increasing:
Nov 17, 2016 - 925mg/dL
Nov 11, 2016 - 803
2015 - 690
2005 - 320
1995 - 125
Additional studies:
Protein, Total, Serum 7.8 g/dL 6.0-8.5
Albumin 3.5 g/dL 2.9-4.4
Alpha-1-Globulin 0.3 g/dL 0.0-0.4
Alpha-2-Globulin 0.7 g/dL 0.4-1.0
Beta Globulin [H] 1.6 g/dL 0.7-1.3
Gamma Globulin 1.7 g/dL 0.4-1.8
M-Spike Not Observed g/dL Not Observed
Globulin, Total [H] 4.3 g/dL 2.2-3.9
A/G Ratio 0.8 0.7-1.7
Immunofixation Result, Serum
An apparent normal immunofixation pattern.
Immunoglobulin G, Qn, Serum 1493 mg/dL 700-1600
Immunoglobulin A, Qn, Serum [H] 925 mg/dL 87-352
Results confirmed on dilution
Immunoglobulin M, Qn, Serum 181 mg/dL 26-217
LDH 159 IU/L 119-226
Sedimentation Rate-Westergren [H] 51 mm/hr 0-32
C-Reactive Protein, Quant [H] 8.2 mg/L
0.0-4.9
I would appreciate any thoughts and recommendations for additional studies.
Thanks,
Richard Wasserman
--
Richard L. Wasserman, MD, PhD
Allergy Partners of North Texas
7777 Forest Lane, Suite B-332
Dallas, Texas 75230
Office (972) 566-7788
Fax (972) 566-8837
Cell (214) 697-7211
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