[CIS PIDD] [cis-pidd] VS: IVIG or SCIG

[CIS-PIDD]

I did have one patient with thrombophilia who clotted his port (it was the
old days) and he did well on low dose aspirin.
Richard Wasserman

On Wed, Jun 7, 2017 at 12:56 AM, CIS-PIDD <cis-pidd at lists.clinimmsoc.org>
wrote:

> Is there a contraindication for anti platelet therapy?
>
> On Jun 7, 2017, at 08:32, CIS-PIDD <cis-pidd at lists.clinimmsoc.org> wrote:
>
> Out of I think 3 such CVID patients I have seen, 1 had recurrent
> thrombosis, but that was before present day preparations and she had
> multiple (!) other risk factors.
>
>
>
> If she refuses SCIG (which I would prefer) would then use IVIG.
>
>
>
> Mikko
>
>
>
>
>
>
>
> *Mikko Seppänen*
>
> Director, Adjunct Professor, MD, PhD
>
> *Hospital District of Helsinki and Uusimaa, Children’s Hospital, Rare
> Disease Center *
>
> P.O.Box 280, 00029 HUS |Lastenlinnantie 2, Helsinki
>
> Senior Consultant
>
> *Hospital District of Helsinki and Uusimaa, Inflammation Center, Adult
> Primary Immunodeficiency Outpatient Clinic *
> mikko.seppanen at hus.fi
>
> +358 9 47180201<image001.gif>| +358 50 4279606 <+358%2050%204279606>
> faxi +358 9 47174703 <+358%209%2047174703>
>
> www.hus.fi; www.harvinaissairaudet.fi
>
>  <image002.jpg>
>
>
>
>
>
>
>
>
>
> *Lähettäjä:* cis-pidd at lyris.dundee.net [mailto:cis-pidd at lyris.dundee.net
> <cis-pidd at lyris.dundee.net>] *Puolesta *CIS-PIDD
> *Lähetetty:* 6. kesäkuuta 2017 18:53
> *Vastaanottaja:* CIS-PIDD <cis-pidd at lyris.dundee.net>
> *Aihe:* [cis-pidd] IVIG or SCIG
>
>
>
> Colleagues:
>
>
>
> I consulted on a 46yo F who requires immunoglobulin replacement therapy.
> She is s/p bilateral mastectomy for breast cancer and on tamoxifen as
> maintenance.
>
>
>
> Tamoxifen “slightly” increases the risk for DVTs etc.
>
>
>
> However, the patient would prefer IVIG over SCIG.
>
>
>
> Does anyone have experience with the combination of IVIG + tamoxifen and
> the risk of thrombotic events?
>
>
>
> Thank you for your help.
>
>
>
> Joe Church
>
> Children’s Hospital Los Angeles
>
>
>
>
>
>
>
> .
>
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-- 
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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