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Re: high IG's?

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Did the immunologist say he thought might have CVID before seeing these

test results? Based on this, I don't think it's possible for him to have

CVID. That doesn't mean he doesn't have an immune deficiency, just the

definition of CVID is low Igs. With that not being the issue, the next

thing to look at is the titers. If those are low even after a vaccine

challenge, then he is probably a candidate for IVIG. That would be a

diagnosis of antibody deficiency.

HTH,

Mom to , 6 - GSD, CVID +, central respiratory failure

Meredith, 3 - GSD, CVID +, central respiratory failure

, 9 - healthy

Carmel, IN

www.caringbridge.org/visit/mhobbs

From: [mailto: ] On Behalf Of

Suz Blokzyl

Sent: Wednesday, November 05, 2008 6:23 PM

Subject: high IG's?

Hello-

Thanks for all of your replies so far too my questions..

So my next question is can you have slightly elevated IG's and still have

CVID and be a candidate for IVIG? Does anyone have this?

- does have elevated IGG, IGM and IGA.

ref range

IGA= 157 (25- 152)

IGG 1400 (560-1307)

IGM 297 (41-186)

IgG 1 = 1130 (350-940)

Like I have said we are waiitng a few weeks to repeat s titers but the

immunologist thinks might have CVID and be a candidate for IVIG?

I am a bit confused since he doesnt have low IG's-

thanks,

Suzanne

mom- 4 year old

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No The IG's were high in June 08 and then were repeated in Sept 08 when we saw

the immunologist and  were still high.

The immunologist didnt talk about CVID or IVIG until a few weeks ago-  mid

October.

thnaks,

suzanne

________________________________

From: Hobbs <hobbsfamily@...>

Sent: Wednesday, November 5, 2008 6:29:52 PM

Subject: RE: high IG's?

Did the immunologist say he thought might have CVID before seeing these

test results? Based on this, I don't think it's possible for him to have

CVID. That doesn't mean he doesn't have an immune deficiency, just the

definition of CVID is low Igs. With that not being the issue, the next

thing to look at is the titers. If those are low even after a vaccine

challenge, then he is probably a candidate for IVIG. That would be a

diagnosis of antibody deficiency.

HTH,

Mom to , 6 - GSD, CVID +, central respiratory failure

Meredith, 3 - GSD, CVID +, central respiratory failure

, 9 - healthy

Carmel, IN

www.caringbridge. org/visit/ mhobbs

From: groups (DOT) com [mailto:groups (DOT) com] On Behalf Of

Suz Blokzyl

Sent: Wednesday, November 05, 2008 6:23 PM

groups (DOT) com

Subject: high IG's?

Hello-

Thanks for all of your replies so far too my questions..

So my next question is can you have slightly elevated IG's and still have

CVID and be a candidate for IVIG? Does anyone have this?

- does have elevated IGG, IGM and IGA.

ref range

IGA= 157 (25- 152)

IGG 1400 (560-1307)

IGM 297 (41-186)

IgG 1 = 1130 (350-940)

Like I have said we are waiitng a few weeks to repeat s titers but the

immunologist thinks might have CVID and be a candidate for IVIG?

I am a bit confused since he doesnt have low IG's-

thanks,

Suzanne

mom- 4 year old

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--

He can have the highest numbers ever, but if they cant make titers,

they are sort of shooting blanks. They arent working to do the job

they need to do....so IVIG would still help.......it would be working

IG's he needs to be protected from bacteria.

He can also have other problems with the immune system....NK cells, T

and B cells, lots of other things. Have those been checked?

valarie

- In , Suz Blokzyl <ryanthomas04@...> wrote:

>

> Hello-

>

> Thanks for all of your replies so far too my questions..

>

> So my next question is can you have slightly elevated IG's and still

have CVID and be a candidate for IVIG?  Does anyone have this?

>

> - does have elevated IGG, IGM and IGA.

>

>                      ref range

> IGA=  157    (25- 152)

> IGG 1400      (560-1307)

> IGM  297      (41-186)

>

> IgG 1  =  1130  (350-940)      

>

> Like I have said we are waiitng a few weeks to repeat s titers

but the immunologist thinks might have CVID and be a candidate

for IVIG?

>

>     I am a bit confused since he doesnt have low IG's-

>

> thanks,

> Suzanne

> mom- 4 year old

>

>

>

>

>

>

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They've never checked NK cells, I know the one time they did a t-cell panel, he

had something low in the t-cell, but they told me not to worry about it at the

other immuno office. I don't know that they have ever checked B-cells either.

The only thing to my knowledge that have been checked are the IG levels and the

titer responses. And the one time Jayden had the t-cell panel ran. That's it ...

I just know I'm tired of them being so sick all the time ... doing homebound

seems to be helping ... minutely ... only because they are able to get a little

more rest, but they still have been pretty much sick constantly since we've been

on homebound too.

*sighs* just still waiting ..

________________________________

From: osdbmom <osdbmom@...>

Sent: Thursday, November 6, 2008 11:07:18 AM

Subject: Re: high IG's?

--

He can have the highest numbers ever, but if they cant make titers,

they are sort of shooting blanks. They arent working to do the job

they need to do....so IVIG would still help.......it would be working

IG's he needs to be protected from bacteria.

He can also have other problems with the immune system....NK cells, T

and B cells, lots of other things. Have those been checked?

valarie

- In groups (DOT) com, Suz Blokzyl <ryanthomas04@ ...> wrote:

>

> Hello-

>

> Thanks for all of your replies so far too my questions..

>

> So my next question is can you have slightly elevated IG's and still

have CVID and be a candidate for IVIG? Does anyone have this?

>

> - does have elevated IGG, IGM and IGA.

>

> ref range

> IGA= 157 (25- 152)

> IGG 1400 (560-1307)

> IGM 297 (41-186)

>

> IgG 1 = 1130 (350-940)

>

> Like I have said we are waiitng a few weeks to repeat s titers

but the immunologist thinks might have CVID and be a candidate

for IVIG?

>

> I am a bit confused since he doesnt have low IG's-

>

> thanks,

> Suzanne

> mom- 4 year old

>

>

>

>

>

>

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