[CIS PIDD] [cis-pidd] CVID/IVIg/heparin in patient with h/o PE

[CIS-PIDD]

I would switch to SubQ.

> On Sep 16, 2017, at 01:00, CIS-PIDD <cis-pidd at lists.clinimmsoc.org> wrote:
> 
> Dear colleagues:
> 
> I have a newly diagnosed, 37 year old CVID patient who needs IVIg before (and after) receiving rituximab for multiple sclerosis. She was diagnosed with PE in 2009 associated with Crohn disease (otherwise no clear etiology), and treated without complication or recurrent problems when anticoagulation was stopped.
> 
> 
> Do any of you routinely give prophylactic subQ heparin (or other anticoagulation practice) before IVIg in patients with a history of PE?
> 
> Would you do so in this patient? She is ambulatory and has relatively good functional status in spite of the MS.
> 
> 
> Your thoughts would be greatly appreciated.
> 
> 
> Katherine
> 
> 
> Katherine Gundling, MD, FACP
> Clinical Professor
> Allergy and Immunology
> UC San Francisco
> 400 Parnassus Ave. Box 0359
> San Francisco, CA 94143
> Clinic: 415-353-2725
> Pager: 415-443-7682
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