[CIS PIDD] [cis-pidd] Unusual complication of IVIG?

CIS-PIDD cis-pidd at lists.clinimmsoc.org
Sat Aug 19 02:45:58 EDT 2017


I would check with your urological colleagues, but my understanding is that anything that can lead to fibrosis can cause Peyronie’s including inflammation, infection, bleeding or thrombosis.

Stan

Stanley J. Naides, M.D., F.A.C.P., F.A.C.R.
Medical Director, Immunology R&D | Interim Scientific Director, Immunology R&D
Quest Diagnostics | Action from Insight | 33608 Ortega Highway| San Juan Capistrano, CA 92675| phone: 949-728-4578| fax: 949-728-7852
stanley.j.naides at QuestDiagnostics.com<mailto:stanley.j.naides at QuestDiagnostics.com>
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From: cis-pidd at lyris.dundee.net [mailto:cis-pidd at lyris.dundee.net] On Behalf Of CIS-PIDD
Sent: Thursday, August 17, 2017 6:53 PM
To: CIS-PIDD; Naides, Stanley J
Subject: RE: [cis-pidd] Unusual complication of IVIG?

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Stan:  He had no history of any vascular issues and as I noted this turned out to be Peyronie’s disease and not a thrombus.  JC

From: cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net> [mailto:cis-pidd at lyris.dundee.net] On Behalf Of CIS-PIDD
Sent: Thursday, August 17, 2017 6:14 PM
To: CIS-PIDD
Subject: RE: [cis-pidd] Unusual complication of IVIG? (EXTERNAL EMAIL)

I wonder if the transient hyperviscosity associated with the IVIG infusion was enough to promote local penile thrombosis that led to Peyronie’s disease.  Is this an older man?  Did he likely have underlying microvascular disease?

Stan Naides

Stanley J. Naides, M.D., F.A.C.P., F.A.C.R.
Medical Director, Immunology R&D | Interim Scientific Director, Immunology R&D
Quest Diagnostics | Action from Insight | 33608 Ortega Highway| San Juan Capistrano, CA 92675| phone: 949-728-4578| fax: 949-728-7852
stanley.j.naides at QuestDiagnostics.com<mailto:stanley.j.naides at QuestDiagnostics.com>
[cid:image003.jpg at 01D07839.4ADA64C0]

From: cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net> [mailto:cis-pidd at lyris.dundee.net] On Behalf Of CIS-PIDD
Sent: Wednesday, August 16, 2017 5:27 PM
To: CIS-PIDD; Naides, Stanley J
Subject: RE: [cis-pidd] Unusual complication of IVIG?

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

Turns out this was not a thrombus.  It was diagnosed with ultrasound as Peyronie’s disease.  JC

From: cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net> [mailto:cis-pidd at lyris.dundee.net] On Behalf Of CIS-PIDD
Sent: Monday, August 14, 2017 7:08 PM
To: CIS-PIDD
Subject: Re: [cis-pidd] Unusual complication of IVIG? (EXTERNAL EMAIL)

Joe,
It wasn't clear from your post if the thrombosis was temporally associated with and IVIG infusion. I have not had a patient with this problem.
Richard Wasserman

On Mon, Aug 14, 2017 at 10:05 PM, CIS-PIDD <cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>> wrote:
I'm out of office untill March 14th 2010

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