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Jerri

 

From: Jerri Dangerfield <fourdangers@...>

Subject: Lab interp questions

Date: Friday, September 5, 2008, 6:21 AM

My daughter, , 14yo. had a past diagnosis of Antibody Deficiency.  She

didn't make protective levels of anti. to pneumococcal.  She rec. IVIG for 5

yrs. then 3 yr. of prophylactic antibiotic.  Now, we are in limbo.  A new doc.

who took the place of her retiring doc. is raising the question of whether she

now really has an antibody def.  We have done labs and a B cell panel.  The new

doc did not use the same lab for the 6 mo. antibody recheck,  I think this was a

screwup on somebody's part.  Can anybody look and these and give me an opinion. 

And ideas a re: questions I need to ask about this.  I have some of my own but

want to make sure there is nothing I am missing here.  The new doc keeps leaning

toward revaccination every year with pneumococcal and rechecking the levels as

her treatment.  No more prophylactic antibiotic.

 

 Type            LabCorp                                                 Hosp.

Lab

                      Pre                       Post                      6 mo

recheck

 1                  <1.00                      1.50                             

1.52

 3                  <1.00                     

2.69                               3.68

 4                  <1.00                     

1.18                                 .29

 8                  

2.34                        6.24                               2.80

9                   <1.00                     

1.38                                1.20

12                  5.74                     

9.94                                  9.83

14                  5.71                     

8.08                                  7.06

19                  1.72                     

5.61                                  4.63

23                 <1.00                  

<1.00                                    .65

26                 <1.00                   

<1.00                                   .74

51                 1.60                      

3.23                                   1.97

56                 <1.00                   

<1.00                                    .39

57                  2.43                     2.72

58                 <1.00                    1.32

No matches on the lab sheets for type 57 and 58.  The old doc was thinking maybe

a responder albeit weak with possible preservation problem.  He never got to see

the 6 mo. antibody recheck before he went out on medical retirement.  What do

any of you guys think???  All other immunologlobulins normal.  Iga is a little

low, but not considered deficient.  No allergies.

 

Sorry about last incomplete email.  Hit the wrong button.

 

Jerri

 

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