Guest guest Posted January 24, 2011 Report Share Posted January 24, 2011 I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " AngSabAlMom@... " <AngSabAlMom@...> Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, Angsabalmom@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, mother5590@... writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, _Angsabalmom@..._ (mailto:Angsabalmom@...) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, mother5590@... writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, _Angsabalmom@..._ (mailto:Angsabalmom@...) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 the pneumonia vaccine is the Pneumovaccine and that is how they test the antibodies. So the words I used would be correct. Have you gone to the Immune Deficiency Foundation website http://www.primaryimmunedeficiency.org? There is LOTS of info there as well as there is info on this group if you got to the resources area. BARBIE ________________________________ From: " AngSabAlMom@... " <AngSabAlMom@...> Sent: Fri, January 28, 2011 4:20:24 AM Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, mother5590@... writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, _Angsabalmom@..._ (mailto:Angsabalmom@...) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 He may have also called it Prevnar. Ursula On Jan 28, 2011, at 2:04 PM, Barbara Jimenez <mother5590@...> wrote: > the pneumonia vaccine is the Pneumovaccine and that is how they test the > antibodies. So the words I used would be correct. Have you gone to the Immune > Deficiency Foundation website http://www.primaryimmunedeficiency.org? There is > LOTS of info there as well as there is info on this group if you got to the > resources area. > > BARBIE > > ________________________________ > From: " AngSabAlMom@... " <AngSabAlMom@...> > > Sent: Fri, January 28, 2011 4:20:24 AM > Subject: Re: Selective Carbohydrate Antibody Deficiency > > Hi Barbie, > I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. > Then he said if that doesn't' help he will try another shot and then Iv > therapy if needed. I am very new to this and trying to learn as much as I can > and I am so thankful for these groups. > > In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > mother5590@... writes: > > I think it may be Selective Polysaccharide Antibody Deficiency. I have > never > heard the other phrase. It is the test they do with either Pnuemovaccine > or > Prevnar to test for antibody response and whether they keep them. I would > encourage you to talk to him more to see what he suggests to do such as > using > antibiotics to prevent infection. Generally this is one of the areas of > deficiencies that may require some support. > > BARBIE > > ________________________________ > From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " > <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > > _ _ (mailto: ) > Sent: Mon, January 24, 2011 4:02:02 AM > Subject: Selective Carbohydrate Antibody Deficiency > > Hello Everyone, > I have a 15 year old son with learning disabilites who has had > chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and > viruses since pre School age. He doesn't get sick to often in the summer > or > when on vacations from school. Which his school and his doctors think he > fakes being sick to get out of school. I had told them I think his immune > system is compromised which is why he is well when he is home and gets > sick > when he returns to school with all the germs and illness. Well I have > taken > him to many specialists and his pediatrician said all his test were > normal. I > took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. > he took 12 tubes of blood and diagnosed him with Selective Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. > So > he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does > anyone else have this conditions? Any information would be greatly > appreciated. > > I am grateful for this group and look forward to corresponding with you > all. > Sincerely, > _Angsabalmom@..._ (mailto:Angsabalmom@...) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2011 Report Share Posted January 28, 2011 He may have also called it Prevnar. Ursula On Jan 28, 2011, at 2:04 PM, Barbara Jimenez <mother5590@...> wrote: > the pneumonia vaccine is the Pneumovaccine and that is how they test the > antibodies. So the words I used would be correct. Have you gone to the Immune > Deficiency Foundation website http://www.primaryimmunedeficiency.org? There is > LOTS of info there as well as there is info on this group if you got to the > resources area. > > BARBIE > > ________________________________ > From: " AngSabAlMom@... " <AngSabAlMom@...> > > Sent: Fri, January 28, 2011 4:20:24 AM > Subject: Re: Selective Carbohydrate Antibody Deficiency > > Hi Barbie, > I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. > Then he said if that doesn't' help he will try another shot and then Iv > therapy if needed. I am very new to this and trying to learn as much as I can > and I am so thankful for these groups. > > In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > mother5590@... writes: > > I think it may be Selective Polysaccharide Antibody Deficiency. I have > never > heard the other phrase. It is the test they do with either Pnuemovaccine > or > Prevnar to test for antibody response and whether they keep them. I would > encourage you to talk to him more to see what he suggests to do such as > using > antibiotics to prevent infection. Generally this is one of the areas of > deficiencies that may require some support. > > BARBIE > > ________________________________ > From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " > <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > > _ _ (mailto: ) > Sent: Mon, January 24, 2011 4:02:02 AM > Subject: Selective Carbohydrate Antibody Deficiency > > Hello Everyone, > I have a 15 year old son with learning disabilites who has had > chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and > viruses since pre School age. He doesn't get sick to often in the summer > or > when on vacations from school. Which his school and his doctors think he > fakes being sick to get out of school. I had told them I think his immune > system is compromised which is why he is well when he is home and gets > sick > when he returns to school with all the germs and illness. Well I have > taken > him to many specialists and his pediatrician said all his test were > normal. I > took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. > he took 12 tubes of blood and diagnosed him with Selective Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. > So > he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does > anyone else have this conditions? Any information would be greatly > appreciated. > > I am grateful for this group and look forward to corresponding with you > all. > Sincerely, > _Angsabalmom@..._ (mailto:Angsabalmom@...) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 I have been to the primaryimmune.org the link that you provided didn't seem to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! Sincerely, In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: the pneumonia vaccine is the Pneumovaccine and that is how they test the antibodies. So the words I used would be correct. Have you gone to the Immune Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ (http://www.primaryimmunedeficiency.org/?) There is LOTS of info there as well as there is info on this group if you got to the resources area. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Fri, January 28, 2011 4:20:24 AM Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 I have been to the primaryimmune.org the link that you provided didn't seem to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! Sincerely, In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: the pneumonia vaccine is the Pneumovaccine and that is how they test the antibodies. So the words I used would be correct. Have you gone to the Immune Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ (http://www.primaryimmunedeficiency.org/?) There is LOTS of info there as well as there is info on this group if you got to the resources area. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Fri, January 28, 2011 4:20:24 AM Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 sorry it is the http://www.primaryimmune.org The antibody deficiency can be a symptom of several different immune deficiencies or a deficiency alone. It will be up to your doctor to figure out which one your son fits into. My son we believe has CVID but they often will not diagnose it until later in life. But he has a multitude of both B and T cell issues that they put together into a specific Common Variable immune Deficiency. I would get a second opinion of another Immunologist to get another opinion so you can choose how to deal with it for your son. The important thing is to try to protect his organs so that they will last him a life time. BARBIE ________________________________ From: " AngSabAlMom@... " <AngSabAlMom@...> Sent: Sun, January 30, 2011 5:13:57 AM Subject: Re: Selective Carbohydrate Antibody Deficiency I have been to the primaryimmune.org the link that you provided didn't seem to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! Sincerely, In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: the pneumonia vaccine is the Pneumovaccine and that is how they test the antibodies. So the words I used would be correct. Have you gone to the Immune Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ (http://www.primaryimmunedeficiency.org/?) There is LOTS of info there as well as there is info on this group if you got to the resources area. BARBIE ________________________________ From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > _ _ (mailto: ) Sent: Fri, January 28, 2011 4:20:24 AM Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. Then he said if that doesn't' help he will try another shot and then Iv therapy if needed. I am very new to this and trying to learn as much as I can and I am so thankful for these groups. In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: I think it may be Selective Polysaccharide Antibody Deficiency. I have never heard the other phrase. It is the test they do with either Pnuemovaccine or Prevnar to test for antibody response and whether they keep them. I would encourage you to talk to him more to see what he suggests to do such as using antibiotics to prevent infection. Generally this is one of the areas of deficiencies that may require some support. BARBIE ________________________________ From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) Sent: Mon, January 24, 2011 4:02:02 AM Subject: Selective Carbohydrate Antibody Deficiency Hello Everyone, I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and viruses since pre School age. He doesn't get sick to often in the summer or when on vacations from school. Which his school and his doctors think he fakes being sick to get out of school. I had told them I think his immune system is compromised which is why he is well when he is home and gets sick when he returns to school with all the germs and illness. Well I have taken him to many specialists and his pediatrician said all his test were normal. I took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. So he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does anyone else have this conditions? Any information would be greatly appreciated. I am grateful for this group and look forward to corresponding with you all. Sincerely, __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 Ok the doctor just called and told me to google only Carbohydrate Antibody Deficiency. And he said the what it mans is that bacteria has carbohydrates (sugars) in then and my son doesn't respond to them.And that 1 in 100 people have this and his genes don't work on bacteria mucus is carbohydrates.And it is a common syndrome.3-4 of his genes are not working right.And I can have it being his mom if I get sinusitis.I asked if he is susceptible to infections and he said only sinusitis and pnemonia. I asked is he has a immune deficiency and he said no. If my son responds to the pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a doctor can undserstand.If anyone knows of this condition or knows where I can get info on it please let me know it would be greatly appreciated! You can email me directly if that is ok at Angsabalmom@... Thanks in advance! > > sorry it is the http://www.primaryimmune.org The antibody deficiency can be a > symptom of several different immune deficiencies or a deficiency alone. It will > be up to your doctor to figure out which one your son fits into. My son we > believe has CVID but they often will not diagnose it until later in life. But he > has a multitude of both B and T cell issues that they put together into a > specific Common Variable immune Deficiency. I would get a second opinion of > another Immunologist to get another opinion so you can choose how to deal with > it for your son. The important thing is to try to protect his organs so that > they will last him a life time. > > > BARBIE > > > > > ________________________________ > From: " AngSabAlMom@... " <AngSabAlMom@...> > > Sent: Sun, January 30, 2011 5:13:57 AM > Subject: Re: Selective Carbohydrate Antibody Deficiency > > > I have been to the primaryimmune.org the link that you provided didn't seem > to work I read a lot and they sent me much information for which I am > grateful for. Thanks for your information and help it is greatly appreciated! > Sincerely, > > > > In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, > mother5590@... writes: > > the pneumonia vaccine is the Pneumovaccine and that is how they test the > antibodies. So the words I used would be correct. Have you gone to the > Immune > Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ > (http://www.primaryimmunedeficiency.org/?) There is > LOTS of info there as well as there is info on this group if you got to > the > resources area. > > BARBIE > > ________________________________ > From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " > <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > > _ _ (mailto: ) > Sent: Fri, January 28, 2011 4:20:24 AM > Subject: Re: Selective Carbohydrate Antibody Deficiency > > Hi Barbie, > I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. > Then he said if that doesn't' help he will try another shot and then Iv > therapy if needed. I am very new to this and trying to learn as much as I > can > and I am so thankful for these groups. > > In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > _mother5590@..._ (mailto:mother5590@...) writes: > > I think it may be Selective Polysaccharide Antibody Deficiency. I have > never > heard the other phrase. It is the test they do with either Pnuemovaccine > or > Prevnar to test for antibody response and whether they keep them. I would > encourage you to talk to him more to see what he suggests to do such as > using > antibiotics to prevent infection. Generally this is one of the areas of > deficiencies that may require some support. > > BARBIE > > ________________________________ > From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ > (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " > <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ > (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > > __ _ (mailto:_ ) _ > (mailto:_ _ (mailto: ) ) > Sent: Mon, January 24, 2011 4:02:02 AM > Subject: Selective Carbohydrate Antibody Deficiency > > Hello Everyone, > I have a 15 year old son with learning disabilites who has had > chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and > viruses since pre School age. He doesn't get sick to often in the summer > or > when on vacations from school. Which his school and his doctors think he > fakes being sick to get out of school. I had told them I think his immune > system is compromised which is why he is well when he is home and gets > sick > when he returns to school with all the germs and illness. Well I have > taken > him to many specialists and his pediatrician said all his test were > normal. I > took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. > he took 12 tubes of blood and diagnosed him with Selective Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. > So > he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does > anyone else have this conditions? Any information would be greatly > appreciated. > > I am grateful for this group and look forward to corresponding with you > all. > Sincerely, > __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ > (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 http://docs.google.com/viewer?a=v & q=cache:Gfi4iW1l1FQJ:www.fightbackkc.org/Dr_Ne\ mechek_Comments_Against_Proposed_LCD.pdf+%22Carbohydrate+Antibody+Deficiency%22 & \ hl=en & gl=us & pid=bl & srcid=ADGEESiifKxleIHTSMMzaWRyi5WdnSCwc02FjNv7flQXoZVYsic66ML\ N2HucVV_IFmXMACGuKwL55MIBXp0rSCQHNxTIbWEk4ZDuf46DmrqypTNuLh5JRsD4z1qIWJ3I1AYoynD\ -2T-t & sig=AHIEtbSBTIHLrAMlKzb9_GHBTjJz-fUW4w <http://docs.google.com/viewer?a=v & q=cache:Gfi4iW1l1FQJ:www.fightbackkc.org/Dr_N\ emechek_Comments_Against_Proposed_LCD.pdf+%22Carbohydrate+Antibody+Deficiency%22\ & hl=en & gl=us & pid=bl & srcid=ADGEESiifKxleIHTSMMzaWRyi5WdnSCwc02FjNv7flQXoZVYsic66M\ LN2HucVV_IFmXMACGuKwL55MIBXp0rSCQHNxTIbWEk4ZDuf46DmrqypTNuLh5JRsD4z1qIWJ3I1AYoyn\ D-2T-t & sig=AHIEtbSBTIHLrAMlKzb9_GHBTjJz-fUW4w>long link but it is a PDF file with your term in it. It does say that it is a PID and it does say that IVIG will help. Very last paragraph on page 10. I will also try to email the PDF directly to you. Ursula On Mon, Feb 7, 2011 at 12:10 PM, angsabalmom <AngSabAlMom@...> wrote: > > > Ok the doctor just called and told me to google only Carbohydrate Antibody > Deficiency. And he said the what it mans is that bacteria has carbohydrates > (sugars) in then and my son doesn't respond to them.And that 1 in 100 people > have this and his genes don't work on bacteria mucus is carbohydrates.And it > is a common syndrome.3-4 of his genes are not working right.And I can have > it being his mom if I get sinusitis.I asked if he is susceptible to > infections and he said only sinusitis and pnemonia. I asked is he has a > immune deficiency and he said no. If my son responds to the pnemonia shot he > hgave him then he said we are done if not then we will talk about that > then.I aksed is he can have his vaccinations and he said yes.And it is not > genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to > find any info. on the web that a person other than a doctor can > undserstand.If anyone knows of this condition or knows where I can get info > on it please let me know it would be greatly appreciated! You can email me > directly if that is ok at Angsabalmom@... Thanks in advance! > > > > > > > sorry it is the http://www.primaryimmune.org The antibody deficiency can > be a > > symptom of several different immune deficiencies or a deficiency alone. > It will > > be up to your doctor to figure out which one your son fits into. My son > we > > believe has CVID but they often will not diagnose it until later in life. > But he > > has a multitude of both B and T cell issues that they put together into a > > > specific Common Variable immune Deficiency. I would get a second opinion > of > > another Immunologist to get another opinion so you can choose how to deal > with > > it for your son. The important thing is to try to protect his organs so > that > > they will last him a life time. > > > > > > BARBIE > > > > > > > > > > ________________________________ > > From: " AngSabAlMom@... " <AngSabAlMom@...> > > > > > Sent: Sun, January 30, 2011 5:13:57 AM > > Subject: Re: Selective Carbohydrate Antibody Deficiency > > > > > > I have been to the primaryimmune.org the link that you provided didn't > seem > > to work I read a lot and they sent me much information for which I am > > grateful for. Thanks for your information and help it is greatly > appreciated! > > Sincerely, > > > > > > > > In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, > > mother5590@... writes: > > > > the pneumonia vaccine is the Pneumovaccine and that is how they test the > > antibodies. So the words I used would be correct. Have you gone to the > > Immune > > Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ > > (http://www.primaryimmunedeficiency.org/?) There is > > LOTS of info there as well as there is info on this group if you got to > > the > > resources area. > > > > BARBIE > > > > ________________________________ > > From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " > > <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > > > > _ _ (mailto: ) > > Sent: Fri, January 28, 2011 4:20:24 AM > > Subject: Re: Selective Carbohydrate Antibody Deficiency > > > > Hi Barbie, > > I couldn't find anything online about his diagnoses. The doctor gave > > him a pneumonia shot and a blood work order to test his blood in 2 > months. > > Then he said if that doesn't' help he will try another shot and then Iv > > therapy if needed. I am very new to this and trying to learn as much as I > > > can > > and I am so thankful for these groups. > > > > In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > > _mother5590@..._ (mailto:mother5590@...) writes: > > > > I think it may be Selective Polysaccharide Antibody Deficiency. I have > > never > > heard the other phrase. It is the test they do with either Pnuemovaccine > > or > > Prevnar to test for antibody response and whether they keep them. I would > > > encourage you to talk to him more to see what he suggests to do such as > > using > > antibiotics to prevent infection. Generally this is one of the areas of > > deficiencies that may require some support. > > > > BARBIE > > > > ________________________________ > > From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ > > (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " > > <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ > > (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > > > > __ _ (mailto:_ ) _ > > (mailto:_ _ (mailto: ) ) > > Sent: Mon, January 24, 2011 4:02:02 AM > > Subject: Selective Carbohydrate Antibody Deficiency > > > > Hello Everyone, > > I have a 15 year old son with learning disabilites who has had > > chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue > and > > viruses since pre School age. He doesn't get sick to often in the summer > > or > > when on vacations from school. Which his school and his doctors think he > > fakes being sick to get out of school. I had told them I think his immune > > > system is compromised which is why he is well when he is home and gets > > sick > > when he returns to school with all the germs and illness. Well I have > > taken > > him to many specialists and his pediatrician said all his test were > > normal. I > > took him to a Allergist/Immunologist out of Yale New Haven hospital in > Ct. > > he took 12 tubes of blood and diagnosed him with Selective Carbohydrate > > Antibody Deficiency. His IGG (14 subclasses) are pretty much non > existent. > > So > > he isn't producing antibodies to fight off infections. I was unable to > > find anything specific to Selective Carbohydrate Antibody Deficiency does > > > anyone else have this conditions? Any information would be greatly > > appreciated. > > > > I am grateful for this group and look forward to corresponding with you > > all. > > Sincerely, > > __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ > > (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 Now, I am going to take a stab at this. But first, where are you located and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples of conjugate vaccines. One reason this was important to me, is that IgG1 builds antibodies against conjugate vaccines, and IgG2 builds antibodies against polysaccharide vaccines. So my son, who is severely deficient in IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. from: http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-subc\ lass-deficiency.html <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of certain disease-producing bacteria (e.g. the pneumococcus and Haemophilus influenzae) are predominantly of the IgG2 type.>> <<Clinical Presentation of Subclass Deficiency: Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most frequently observed illnesses in patients with IgG subclass deficiencies. Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. In other patients the onset of infections may occur later. Often a child with IgG subclass deficiency will first come to the physician's attention because of recurrent ear infections. Somewhat later in life, recurrent or chronic sinusitis, bronchitis and/or pneumonia may make their appearance. In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> This is what we were talking about: <<An additional subset of patients have normal immunoglobulin levels and normal IgG subclasses, yet fail to produce protective antibody levels in response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with IgG subclass deficiency.>> I also found a reference to a group of patients with normal immunoglobulin levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of patients referred to an immunology center (not the general population!). Maybe that is where he gets his numbers? http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+antib\ ody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0\ LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & \ ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency%20general%20popul\ ation & f=false If your son has IgG subclass deficiency with normal total IgG levels, and responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. Some kids with IgG subclass deficiency need rotating antibiotics, etc. If he has SAD, he may need more agressive treatment. If he has IgG subclass deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline titers and total IgG, my son has more severe CVID Hope this helps some. Mindy mom of seven in Va. > Ok the doctor just called and told me to google only Carbohydrate Antibody > Deficiency. And he said the what it mans is that bacteria has > carbohydrates (sugars) in then and my son doesn't respond to them.And that > 1 in 100 people have this and his genes don't work on bacteria mucus is carbohydrates.And it is a common syndrome.3-4 of his genes are not working > right.And I can have it being his mom if I get sinusitis.I asked if he is > susceptible to infections and he said only sinusitis and pnemonia. I asked > is he has a immune deficiency and he said no. If my son responds to the pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a > doctor can undserstand.If anyone knows of this condition or knows where I > can get info on it please let me know it would be greatly appreciated! You > can email me directly if that is ok at Angsabalmom@... Thanks in advance! > >> sorry it is the http://www.primaryimmune.org The antibody deficiency can >> be a >> symptom of several different immune deficiencies or a deficiency alone. It will >> be up to your doctor to figure out which one your son fits into. My son we >> believe has CVID but they often will not diagnose it until later in life. But he >> has a multitude of both B and T cell issues that they put together into a >> specific Common Variable immune Deficiency. I would get a second opinion >> of >> another Immunologist to get another opinion so you can choose how to deal with >> it for your son. The important thing is to try to protect his organs so that >> they will last him a life time. >> BARBIE >> ________________________________ >> From: " AngSabAlMom@... " <AngSabAlMom@...> >> >> Sent: Sun, January 30, 2011 5:13:57 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency I have been to the primaryimmune.org the link that you provided didn't seem >> to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! >> Sincerely, >> >> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: >> the pneumonia vaccine is the Pneumovaccine and that is how they test the >> antibodies. So the words I used would be correct. Have you gone to the Immune >> Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ (http://www.primaryimmunedeficiency.org/?) There is >> LOTS of info there as well as there is info on this group if you got to >> the >> resources area. >> BARBIE >> ________________________________ >> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >> _ _ (mailto: ) >> Sent: Fri, January 28, 2011 4:20:24 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, >> I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. >> Then he said if that doesn't' help he will try another shot and then Iv >> therapy if needed. I am very new to this and trying to learn as much as >> I >> can >> and I am so thankful for these groups. >> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: >> I think it may be Selective Polysaccharide Antibody Deficiency. I have never >> heard the other phrase. It is the test they do with either Pnuemovaccine >> or >> Prevnar to test for antibody response and whether they keep them. I would >> encourage you to talk to him more to see what he suggests to do such as >> using >> antibiotics to prevent infection. Generally this is one of the areas of >> deficiencies that may require some support. >> BARBIE >> ________________________________ >> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >> __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) Sent: Mon, January 24, 2011 4:02:02 AM >> Subject: Selective Carbohydrate Antibody Deficiency >> Hello Everyone, >> I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >> viruses since pre School age. He doesn't get sick to often in the summer >> or >> when on vacations from school. Which his school and his doctors think he >> fakes being sick to get out of school. I had told them I think his immune >> system is compromised which is why he is well when he is home and gets sick >> when he returns to school with all the germs and illness. Well I have taken >> him to many specialists and his pediatrician said all his test were normal. I >> took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. >> he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >> So >> he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does >> anyone else have this conditions? Any information would be greatly appreciated. >> I am grateful for this group and look forward to corresponding with you >> all. >> Sincerely, >> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 well done Mindy. I think this is a GREAT explanation. The interesting thing is how much more info is available out there than 14 years ago when we began with my son trying to get a diagnosis. BARBIE ________________________________ From: " mindy@... " <mindy@...> Sent: Mon, February 7, 2011 3:05:56 PM Subject: Re: Re: Selective Carbohydrate Antibody Deficiency Now, I am going to take a stab at this. But first, where are you located and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples of conjugate vaccines. One reason this was important to me, is that IgG1 builds antibodies against conjugate vaccines, and IgG2 builds antibodies against polysaccharide vaccines. So my son, who is severely deficient in IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. from: http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-subc\ lass-deficiency.html <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of certain disease-producing bacteria (e.g. the pneumococcus and Haemophilus influenzae) are predominantly of the IgG2 type.>> <<Clinical Presentation of Subclass Deficiency: Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most frequently observed illnesses in patients with IgG subclass deficiencies. Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. In other patients the onset of infections may occur later. Often a child with IgG subclass deficiency will first come to the physician's attention because of recurrent ear infections. Somewhat later in life, recurrent or chronic sinusitis, bronchitis and/or pneumonia may make their appearance. In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> This is what we were talking about: <<An additional subset of patients have normal immunoglobulin levels and normal IgG subclasses, yet fail to produce protective antibody levels in response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with IgG subclass deficiency.>> I also found a reference to a group of patients with normal immunoglobulin levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of patients referred to an immunology center (not the general population!). Maybe that is where he gets his numbers? http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+antib\ ody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0\ LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & \ ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency%20general%20popul\ ation & f=false If your son has IgG subclass deficiency with normal total IgG levels, and responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. Some kids with IgG subclass deficiency need rotating antibiotics, etc. If he has SAD, he may need more agressive treatment. If he has IgG subclass deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline titers and total IgG, my son has more severe CVID Hope this helps some. Mindy mom of seven in Va. > Ok the doctor just called and told me to google only Carbohydrate Antibody > Deficiency. And he said the what it mans is that bacteria has > carbohydrates (sugars) in then and my son doesn't respond to them.And that > 1 in 100 people have this and his genes don't work on bacteria mucus is carbohydrates.And it is a common syndrome.3-4 of his genes are not working > right.And I can have it being his mom if I get sinusitis.I asked if he is > susceptible to infections and he said only sinusitis and pnemonia. I asked > is he has a immune deficiency and he said no. If my son responds to the pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a > doctor can undserstand.If anyone knows of this condition or knows where I > can get info on it please let me know it would be greatly appreciated! You > can email me directly if that is ok at Angsabalmom@... Thanks in advance! > >> sorry it is the http://www.primaryimmune.org The antibody deficiency can >> be a >> symptom of several different immune deficiencies or a deficiency alone. It will >> be up to your doctor to figure out which one your son fits into. My son we >> believe has CVID but they often will not diagnose it until later in life. But he >> has a multitude of both B and T cell issues that they put together into a >> specific Common Variable immune Deficiency. I would get a second opinion >> of >> another Immunologist to get another opinion so you can choose how to deal with >> it for your son. The important thing is to try to protect his organs so that >> they will last him a life time. >> BARBIE >> ________________________________ >> From: " AngSabAlMom@... " <AngSabAlMom@...> >> >> Sent: Sun, January 30, 2011 5:13:57 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency I have been to the primaryimmune.org the link that you provided didn't seem >> to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! >> Sincerely, >> >> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: >> the pneumonia vaccine is the Pneumovaccine and that is how they test the >> antibodies. So the words I used would be correct. Have you gone to the Immune >> Deficiency Foundation website _http://www.primaryimmunedeficiency.org?_ (http://www.primaryimmunedeficiency.org/?) There is >> LOTS of info there as well as there is info on this group if you got to >> the >> resources area. >> BARBIE >> ________________________________ >> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >> _ _ (mailto: ) >> Sent: Fri, January 28, 2011 4:20:24 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, >> I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. >> Then he said if that doesn't' help he will try another shot and then Iv >> therapy if needed. I am very new to this and trying to learn as much as >> I >> can >> and I am so thankful for these groups. >> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: >> I think it may be Selective Polysaccharide Antibody Deficiency. I have never >> heard the other phrase. It is the test they do with either Pnuemovaccine >> or >> Prevnar to test for antibody response and whether they keep them. I would >> encourage you to talk to him more to see what he suggests to do such as >> using >> antibiotics to prevent infection. Generally this is one of the areas of >> deficiencies that may require some support. >> BARBIE >> ________________________________ >> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >> __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) Sent: Mon, January 24, 2011 4:02:02 AM >> Subject: Selective Carbohydrate Antibody Deficiency >> Hello Everyone, >> I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >> viruses since pre School age. He doesn't get sick to often in the summer >> or >> when on vacations from school. Which his school and his doctors think he >> fakes being sick to get out of school. I had told them I think his immune >> system is compromised which is why he is well when he is home and gets sick >> when he returns to school with all the germs and illness. Well I have taken >> him to many specialists and his pediatrician said all his test were normal. I >> took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. >> he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >> So >> he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does >> anyone else have this conditions? Any information would be greatly appreciated. >> I am grateful for this group and look forward to corresponding with you >> all. >> Sincerely, >> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 oops, I meant to say " specific antibody deficiency " ! According to Ursula's search the > definition IS that of selective antibody deficiency. This is why: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 So what I gather from it in simple terms is he has a immune deficiency where he doesn't produce antibodies to fight off infections? And I should try to keep him away from sick people so he doesn't get ill? Should I have my other children tested also? We are in CT. the doctor is a Allergist/Immunologist out of Yale New Haven. My son has had chronic sinusitis since pre school age and we just got a diagnoses. I have autoimmune conditions such as Lupus. Sjogrens should I be tested also? And thanks so much for all your help to all that responded it is much appreciated! In a message dated 2/7/2011 6:06:08 P.M. Eastern Standard Time, mindy@... writes: Now, I am going to take a stab at this. But first, where are you located and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples of conjugate vaccines. One reason this was important to me, is that IgG1 builds antibodies against conjugate vaccines, and IgG2 builds antibodies against polysaccharide vaccines. So my son, who is severely deficient in IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. from: _http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg -subclass-deficiency.html_ (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-sub\ class-deficiency.html) <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of certain disease-producing bacteria (e.g. the pneumococcus and Haemophilus influenzae) are predominantly of the IgG2 type.>> <<Clinical Presentation of Subclass Deficiency: Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most frequently observed illnesses in patients with IgG subclass deficiencies. Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. In other patients the onset of infections may occur later. Often a child with IgG subclass deficiency will first come to the physician's attention because of recurrent ear infections. Somewhat later in life, recurrent or chronic sinusitis, bronchitis and/or pneumonia may make their appearance. In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> This is what we were talking about: <<An additional subset of patients have normal immunoglobulin levels and normal IgG subclasses, yet fail to produce protective antibody levels in response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with IgG subclass deficiency.>> I also found a reference to a group of patients with normal immunoglobulin levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of patients referred to an immunology center (not the general population!). Maybe that is where he gets his numbers? _http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+ antibody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9Vg U0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=res ult & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency% 20general%20population & f=false_ (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+anti\ body+deficiency+general+population & sourc e=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf 5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=s pecific%20antibody%20deficiency%20general%20population & f=false) If your son has IgG subclass deficiency with normal total IgG levels, and responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. Some kids with IgG subclass deficiency need rotating antibiotics, etc. If he has SAD, he may need more agressive treatment. If he has IgG subclass deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline titers and total IgG, my son has more severe CVID Hope this helps some. Mindy mom of seven in Va. > Ok the doctor just called and told me to google only Carbohydrate Antibody > Deficiency. And he said the what it mans is that bacteria has > carbohydrates (sugars) in then and my son doesn't respond to them.And that > 1 in 100 people have this and his genes don't work on bacteria mucus is carbohydrates.And it is a common syndrome.3-4 of his genes are not working > right.And I can have it being his mom if I get sinusitis.I asked if he is > susceptible to infections and he said only sinusitis and pnemonia. I asked > is he has a immune deficiency and he said no. If my son responds to the pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a > doctor can undserstand.If anyone knows of this condition or knows where I > can get info on it please let me know it would be greatly appreciated! You > can email me directly if that is ok at _Angsabalmom@..._ (mailto:Angsabalmom@...) Thanks in advance! > >> sorry it is the _http://www.primaryimmune.org_ (http://www.primaryimmune.org/) The antibody deficiency can >> be a >> symptom of several different immune deficiencies or a deficiency alone. It will >> be up to your doctor to figure out which one your son fits into. My son we >> believe has CVID but they often will not diagnose it until later in life. But he >> has a multitude of both B and T cell issues that they put together into a >> specific Common Variable immune Deficiency. I would get a second opinion >> of >> another Immunologist to get another opinion so you can choose how to deal with >> it for your son. The important thing is to try to protect his organs so that >> they will last him a life time. >> BARBIE >> ________________________________ >> From: " AngSabAlMom@... " <AngSabAlMom@...> >> _ _ (mailto: ) >> Sent: Sun, January 30, 2011 5:13:57 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency I have been to the primaryimmune.org the link that you provided didn't seem >> to work I read a lot and they sent me much information for which I am grateful for. Thanks for your information and help it is greatly appreciated! >> Sincerely, >> >> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, mother5590@... writes: >> the pneumonia vaccine is the Pneumovaccine and that is how they test the >> antibodies. So the words I used would be correct. Have you gone to the Immune >> Deficiency Foundation website __http://www.primaryimmunedeficiency.org?__ (http://www.primaryimmunedeficiency.org/?_) (_http://www.primaryimmunedeficiency.org/?_ (http://www.primaryimmunedeficiency.org/?) ) There is >> LOTS of info there as well as there is info on this group if you got to >> the >> resources area. >> BARBIE >> ________________________________ >> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >> __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) >> Sent: Fri, January 28, 2011 4:20:24 AM >> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi Barbie, >> I couldn't find anything online about his diagnoses. The doctor gave him a pneumonia shot and a blood work order to test his blood in 2 months. >> Then he said if that doesn't' help he will try another shot and then Iv >> therapy if needed. I am very new to this and trying to learn as much as >> I >> can >> and I am so thankful for these groups. >> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, _mother5590@..._ (mailto:mother5590@...) writes: >> I think it may be Selective Polysaccharide Antibody Deficiency. I have never >> heard the other phrase. It is the test they do with either Pnuemovaccine >> or >> Prevnar to test for antibody response and whether they keep them. I would >> encourage you to talk to him more to see what he suggests to do such as >> using >> antibiotics to prevent infection. Generally this is one of the areas of >> deficiencies that may require some support. >> BARBIE >> ________________________________ >> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >> ___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) _ (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) Sent: Mon, January 24, 2011 4:02:02 AM >> Subject: Selective Carbohydrate Antibody Deficiency >> Hello Everyone, >> I have a 15 year old son with learning disabilites who has had chronic sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >> viruses since pre School age. He doesn't get sick to often in the summer >> or >> when on vacations from school. Which his school and his doctors think he >> fakes being sick to get out of school. I had told them I think his immune >> system is compromised which is why he is well when he is home and gets sick >> when he returns to school with all the germs and illness. Well I have taken >> him to many specialists and his pediatrician said all his test were normal. I >> took him to a Allergist/Immunologist out of Yale New Haven hospital in Ct. >> he took 12 tubes of blood and diagnosed him with Selective Carbohydrate Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >> So >> he isn't producing antibodies to fight off infections. I was unable to find anything specific to Selective Carbohydrate Antibody Deficiency does >> anyone else have this conditions? Any information would be greatly appreciated. >> I am grateful for this group and look forward to corresponding with you >> all. >> Sincerely, >> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] >> [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 I went back and read your original post. From what I can tell, the only test that was abnormal was the Pneumococcal Immunity Panel (14-Serotypes), which is usually done to test the body's response to polysaccharide vaccine. Is that correct? All his Immunoglobulin levels, and other vaccine titers were normal? did he have IgG subclasses done also? Going on the supposition that the above info is correct, and the other tests were negative, the doctor wants to repeat a pneumovax, wait 1-2 months, then repeat the panel and see how he responded. This is part of a typical work-up for the immune system. IF enough of his 14 antibodies respond, then he does NOT have SAD, and he does not have an immune deficiency. If they do not respond, or he has a minimal response, then it is likely that he does have SAD. In that case, if he does have SAD, then he is particularly susceptible to the bacteria that cause RESPIRATORY bacterial infections (like pneumococcal). That is still good news, because he is not at increased risk for other types of bacterial infections. Depending on his clinical picture, the doctor may choose to rotate antibiotics on a regular basis OR start him on IVIG. His avoidance of infections will depend on your family's comfort level, imho--i.e. how far you go with it. If my kids are sick, they don't go anywhere to pick up something else until they get well (they are more susceptible). We try to stay away from anyone who is sick, and within reason, isolate sick people within the house. We wash hands like crazy, and use antibacterial gel all the time. We have it in all our vehicles and in every room in the house The whole family has to try to keep well! We all have asthma, even if not ID, so a cold can be debilitating all around. We chose to homeschool for many reasons, but one of them was because got sick EVERY time he went somewhere, especially in winter. Homeschooling makes it more flexible when he is sick, too, so he can make up his schoolwork when he feels better. But not everyone chooses homeschooling. You already know that he gets sick a lot. You are probably already doing this, anyway. But there is a fine line between protecting him from infection, and alienating friends. Especially at your son's age, he still needs to go and do something with his friends when he is well. You can make sure that you choose venues carefully, i.e. no really crowded places in the middle of flu season We like to meet outdoors unless it's really frigid! Over at someone's house is better than the mall... Just use your judgement. Now it is a waiting time until you get your son's test results back. I was tested after my son's diagnosis because I also have a history of severe, chronic recurrent sinusitis/bronchitis/bronchopneumonia along with my asthma (the guidelines are at least 4 times/year). My first year as a nurse, I had bronchopneumonia 7 times!! If you do not have recurrent bacterial infections, it is unlikely that you have an immune deficiency. You can go back and read some of the old posts on this list, too. They are very informative. Mindy, mom of seven, ages 4.5-13, including , 8, CVID plus > So what I gather from it in simple terms is he has a immune deficiency where he doesn't produce antibodies to fight off infections? And I should > try > to keep him away from sick people so he doesn't get ill? Should I have my > other children tested also? We are in CT. the doctor is a > Allergist/Immunologist out of Yale New Haven. My son has had chronic sinusitis since pre > school age and we just got a diagnoses. I have autoimmune conditions such > as > Lupus. Sjogrens should I be tested also? And thanks so much for all your > help > to all that responded it is much appreciated! > In a message dated 2/7/2011 6:06:08 P.M. Eastern Standard Time, > mindy@... writes: > Now, I am going to take a stab at this. But first, where are you located > and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that > largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate > part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. > On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples > of conjugate vaccines. One reason this was important to me, is that IgG1 > builds antibodies against conjugate vaccines, and IgG2 builds antibodies > against polysaccharide vaccines. So my son, who is severely deficient in > IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. > from: > _http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg -subclass-deficiency.html_ > (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-sub\ class-deficiency.html) <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For > example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of > certain disease-producing bacteria (e.g. the pneumococcus and > Haemophilus > influenzae) are predominantly of the IgG2 type.>> > <<Clinical Presentation of Subclass Deficiency: > Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most > frequently observed illnesses in patients with IgG subclass deficiencies. > Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. > In other patients the onset of infections may occur later. Often a child > with IgG subclass deficiency will first come to the physician's attention > because of recurrent ear infections. Somewhat later in life, recurrent or > chronic sinusitis, bronchitis and/or pneumonia may make their appearance. > In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who > have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> > This is what we were talking about: > <<An additional subset of patients have normal immunoglobulin levels and > normal IgG subclasses, yet fail to produce protective antibody levels in > response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with > IgG subclass deficiency.>> > I also found a reference to a group of patients with normal > immunoglobulin > levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of > patients referred to an immunology center (not the general population!). > Maybe that is where he gets his numbers? > _http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+ antibody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9Vg U0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=res ult & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency% 20general%20population & f=false_ > (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+anti\ body+deficiency+general+population & sourc e=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf 5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=s pecific%20antibody%20deficiency%20general%20population & f=false) > If your son has IgG subclass deficiency with normal total IgG levels, and > responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. > Some kids with IgG subclass deficiency need rotating antibiotics, etc. If > he has SAD, he may need more agressive treatment. If he has IgG subclass > deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. > It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline > titers and total IgG, my son has more severe CVID > Hope this helps some. > Mindy > mom of seven in Va. >> Ok the doctor just called and told me to google only Carbohydrate > Antibody >> Deficiency. And he said the what it mans is that bacteria has >> carbohydrates (sugars) in then and my son doesn't respond to them.And > that >> 1 in 100 people have this and his genes don't work on bacteria mucus is > carbohydrates.And it is a common syndrome.3-4 of his genes are not working >> right.And I can have it being his mom if I get sinusitis.I asked if he > is >> susceptible to infections and he said only sinusitis and pnemonia. I > asked >> is he has a immune deficiency and he said no. If my son responds to the > pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said > yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a >> doctor can undserstand.If anyone knows of this condition or knows where > I >> can get info on it please let me know it would be greatly appreciated! > You >> can email me directly if that is ok at _Angsabalmom@..._ > (mailto:Angsabalmom@...) Thanks in > advance! >> >>> sorry it is the _http://www.primaryimmune.org_ > (http://www.primaryimmune.org/) The antibody deficiency > can >>> be a >>> symptom of several different immune deficiencies or a deficiency alone. > It will >>> be up to your doctor to figure out which one your son fits into. My son > we >>> believe has CVID but they often will not diagnose it until later in > life. But he >>> has a multitude of both B and T cell issues that they put together into > a >>> specific Common Variable immune Deficiency. I would get a second > opinion >>> of >>> another Immunologist to get another opinion so you can choose how to > deal with >>> it for your son. The important thing is to try to protect his organs so > that >>> they will last him a life time. >>> BARBIE >>> ________________________________ >>> From: " AngSabAlMom@... " <AngSabAlMom@...> >>> _ _ (mailto: ) >>> Sent: Sun, January 30, 2011 5:13:57 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency I have > been to the primaryimmune.org the link that you provided didn't seem >>> to work I read a lot and they sent me much information for which I am > grateful for. Thanks for your information and help it is greatly appreciated! >>> Sincerely, >>> >>> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, > mother5590@... writes: >>> the pneumonia vaccine is the Pneumovaccine and that is how they test > the >>> antibodies. So the words I used would be correct. Have you gone to the > Immune >>> Deficiency Foundation website > __http://www.primaryimmunedeficiency.org?__ > (http://www.primaryimmunedeficiency.org/?_) > (_http://www.primaryimmunedeficiency.org/?_ > (http://www.primaryimmunedeficiency.org/?) ) There is >>> LOTS of info there as well as there is info on this group if you got > to >>> the >>> resources area. >>> BARBIE >>> ________________________________ >>> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >>> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >>> __ _ (mailto:_ ) _ > (mailto:_ _ (mailto: ) ) >>> Sent: Fri, January 28, 2011 4:20:24 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi > Barbie, >>> I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. >>> Then he said if that doesn't' help he will try another shot and then > Iv >>> therapy if needed. I am very new to this and trying to learn as much > as >>> I >>> can >>> and I am so thankful for these groups. >>> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > _mother5590@..._ (mailto:mother5590@...) writes: >>> I think it may be Selective Polysaccharide Antibody Deficiency. I have > never >>> heard the other phrase. It is the test they do with either > Pnuemovaccine >>> or >>> Prevnar to test for antibody response and whether they keep them. I > would >>> encourage you to talk to him more to see what he suggests to do such > as >>> using >>> antibiotics to prevent infection. Generally this is one of the areas > of >>> deficiencies that may require some support. >>> BARBIE >>> ________________________________ >>> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >>> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >>> ___ _ (mailto:__ ) _ > (mailto:__ _ (mailto:_ ) ) _ (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) Sent: > Mon, January 24, 2011 4:02:02 AM >>> Subject: Selective Carbohydrate Antibody Deficiency >>> Hello Everyone, >>> I have a 15 year old son with learning disabilites who has had chronic > sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >>> viruses since pre School age. He doesn't get sick to often in the > summer >>> or >>> when on vacations from school. Which his school and his doctors think > he >>> fakes being sick to get out of school. I had told them I think his > immune >>> system is compromised which is why he is well when he is home and gets > sick >>> when he returns to school with all the germs and illness. Well I have > taken >>> him to many specialists and his pediatrician said all his test were > normal. I >>> took him to a Allergist/Immunologist out of Yale New Haven hospital in > Ct. >>> he took 12 tubes of blood and diagnosed him with Selective >>> Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >>> So >>> he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does >>> anyone else have this conditions? Any information would be greatly > appreciated. >>> I am grateful for this group and look forward to corresponding with > you >>> all. >>> Sincerely, >>> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >>> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 Go for a second opinion. Knowledgeable as we are, we are still just the Moms of our own kids. Ursula Alsp everyone please remember to sign your posts and delete all previous replys. Makes for a cleaner and easier to search digest Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 Might wanna also check for a Mannose Binding Lectin Deficiency. My son and I both have this and the proteins do not bind properly to the carbohydrates on the bacteria so the body recognizes them to break them down. We also have PIDDs, but MBL is a secondary immune deficiency. IgG1 subclass & MBL deficient mom to J.B. 7 CVID & MBL deficient Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 Here are the items in the blood test that were not normal: HCT MVV Vitamin D (all were LOW) The doctor circled on the blood test results for the Immuneglobolin G and M there was no result which I have no idea what that means. MCHC-HIGH Immuneglobuin Serum G (LOW) Blood tests done prior to this by another doctor his Immuneglobolin G was LOW and he was Anemic. He gave him the pneumonia shot when he gave us the results and wants to repeat the blood work in 2 months. He said he is only susceptible to having sinusitis and pneumonia. So far since the pneumonia shot he has been well. Because he usually has 1-2 sinus infections a month. He said when he gets the results of the next blood work and if they are good then we are done if not we will talk then. He was getting 14 sinus infections during the school year for many years until finally this diagnosis. Is this condition genetic should my other children be tested? I have autoimmune Lupus, and Sjogrens should I be tested also?What is SAD? Thanks so much for the response and info. it is much appreciated! In a message dated 2/7/2011 10:55:05 P.M. Eastern Standard Time, mindy@... writes: I went back and read your original post. From what I can tell, the only test that was abnormal was the Pneumococcal Immunity Panel (14-Serotypes), which is usually done to test the body's response to polysaccharide vaccine. Is that correct? All his Immunoglobulin levels, and other vaccine titers were normal? did he have IgG subclasses done also? Going on the supposition that the above info is correct, and the other tests were negative, the doctor wants to repeat a pneumovax, wait 1-2 months, then repeat the panel and see how he responded. This is part of a typical work-up for the immune system. IF enough of his 14 antibodies respond, then he does NOT have SAD, and he does not have an immune deficiency. If they do not respond, or he has a minimal response, then it is likely that he does have SAD. In that case, if he does have SAD, then he is particularly susceptible to the bacteria that cause RESPIRATORY bacterial infections (like pneumococcal). That is still good news, because he is not at increased risk for other types of bacterial infections. Depending on his clinical picture, the doctor may choose to rotate antibiotics on a regular basis OR start him on IVIG. His avoidance of infections will depend on your family's comfort level, imho--i.e. how far you go with it. If my kids are sick, they don't go anywhere to pick up something else until they get well (they are more susceptible). We try to stay away from anyone who is sick, and within reason, isolate sick people within the house. We wash hands like crazy, and use antibacterial gel all the time. We have it in all our vehicles and in every room in the house The whole family has to try to keep well! We all have asthma, even if not ID, so a cold can be debilitating all around. We chose to homeschool for many reasons, but one of them was because got sick EVERY time he went somewhere, especially in winter. Homeschooling makes it more flexible when he is sick, too, so he can make up his schoolwork when he feels better. But not everyone chooses homeschooling. You already know that he gets sick a lot. You are probably already doing this, anyway. But there is a fine line between protecting him from infection, and alienating friends. Especially at your son's age, he still needs to go and do something with his friends when he is well. You can make sure that you choose venues carefully, i.e. no really crowded places in the middle of flu season We like to meet outdoors unless it's really frigid! Over at someone's house is better than the mall... Just use your judgement. Now it is a waiting time until you get your son's test results back. I was tested after my son's diagnosis because I also have a history of severe, chronic recurrent sinusitis/bronchitis/bronchopneumonia along with my asthma (the guidelines are at least 4 times/year). My first year as a nurse, I had bronchopneumonia 7 times!! If you do not have recurrent bacterial infections, it is unlikely that you have an immune deficiency. You can go back and read some of the old posts on this list, too. They are very informative. Mindy, mom of seven, ages 4.5-13, including , 8, CVID plus > So what I gather from it in simple terms is he has a immune deficiency where he doesn't produce antibodies to fight off infections? And I should > try > to keep him away from sick people so he doesn't get ill? Should I have my > other children tested also? We are in CT. the doctor is a > Allergist/Immunologist out of Yale New Haven. My son has had chronic sinusitis since pre > school age and we just got a diagnoses. I have autoimmune conditions such > as > Lupus. Sjogrens should I be tested also? And thanks so much for all your > help > to all that responded it is much appreciated! > In a message dated 2/7/2011 6:06:08 P.M. Eastern Standard Time, > _mindy@..._ (mailto:mindy@...) writes: > Now, I am going to take a stab at this. But first, where are you located > and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that > largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate > part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. > On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples > of conjugate vaccines. One reason this was important to me, is that IgG1 > builds antibodies against conjugate vaccines, and IgG2 builds antibodies > against polysaccharide vaccines. So my son, who is severely deficient in > IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. > from: > __http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg_ (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg) -subclass-deficiency.html_ > (_http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-su\ bclass-deficiency.html_ (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-sub\ class-deficiency.html) ) <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For > example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of > certain disease-producing bacteria (e.g. the pneumococcus and > Haemophilus > influenzae) are predominantly of the IgG2 type.>> > <<Clinical Presentation of Subclass Deficiency: > Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most > frequently observed illnesses in patients with IgG subclass deficiencies. > Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. > In other patients the onset of infections may occur later. Often a child > with IgG subclass deficiency will first come to the physician's attention > because of recurrent ear infections. Somewhat later in life, recurrent or > chronic sinusitis, bronchitis and/or pneumonia may make their appearance. > In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who > have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> > This is what we were talking about: > <<An additional subset of patients have normal immunoglobulin levels and > normal IgG subclasses, yet fail to produce protective antibody levels in > response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with > IgG subclass deficiency.>> > I also found a reference to a group of patients with normal > immunoglobulin > levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of > patients referred to an immunology center (not the general population!). > Maybe that is where he gets his numbers? > __http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+_ (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+) antibody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9Vg U0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=res ult & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency% 20general%20population & f=false_ > (_http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+ant\ ibody+deficiency+general+population & sourc_ (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+anti\ body+deficiency+genera l+population & sourc) e=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf 5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=s pecific%20antibody%20deficiency%20general%20population & f=false) > If your son has IgG subclass deficiency with normal total IgG levels, and > responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. > Some kids with IgG subclass deficiency need rotating antibiotics, etc. If > he has SAD, he may need more agressive treatment. If he has IgG subclass > deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. > It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline > titers and total IgG, my son has more severe CVID > Hope this helps some. > Mindy > mom of seven in Va. >> Ok the doctor just called and told me to google only Carbohydrate > Antibody >> Deficiency. And he said the what it mans is that bacteria has >> carbohydrates (sugars) in then and my son doesn't respond to them.And > that >> 1 in 100 people have this and his genes don't work on bacteria mucus is > carbohydrates.And it is a common syndrome.3-4 of his genes are not working >> right.And I can have it being his mom if I get sinusitis.I asked if he > is >> susceptible to infections and he said only sinusitis and pnemonia. I > asked >> is he has a immune deficiency and he said no. If my son responds to the > pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said > yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a >> doctor can undserstand.If anyone knows of this condition or knows where > I >> can get info on it please let me know it would be greatly appreciated! > You >> can email me directly if that is ok at __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ > (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) Thanks in > advance! >> >>> sorry it is the __http://www.primaryimmune.org__ (http://www.primaryimmune.org_/) > (_http://www.primaryimmune.org/_ (http://www.primaryimmune.org/) ) The antibody deficiency > can >>> be a >>> symptom of several different immune deficiencies or a deficiency alone. > It will >>> be up to your doctor to figure out which one your son fits into. My son > we >>> believe has CVID but they often will not diagnose it until later in > life. But he >>> has a multitude of both B and T cell issues that they put together into > a >>> specific Common Variable immune Deficiency. I would get a second > opinion >>> of >>> another Immunologist to get another opinion so you can choose how to > deal with >>> it for your son. The important thing is to try to protect his organs so > that >>> they will last him a life time. >>> BARBIE >>> ________________________________ >>> From: " AngSabAlMom@... " <AngSabAlMom@...> >>> __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) >>> Sent: Sun, January 30, 2011 5:13:57 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency I have > been to the primaryimmune.org the link that you provided didn't seem >>> to work I read a lot and they sent me much information for which I am > grateful for. Thanks for your information and help it is greatly appreciated! >>> Sincerely, >>> >>> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, > mother5590@... writes: >>> the pneumonia vaccine is the Pneumovaccine and that is how they test > the >>> antibodies. So the words I used would be correct. Have you gone to the > Immune >>> Deficiency Foundation website > ___http://www.primaryimmunedeficiency.org?___ (http://www.primaryimmunedeficiency.org/?__) > (_http://www.primaryimmunedeficiency.org/?__'>http://www.primaryimmunedeficiency.org/?__ (http://www.primaryimmunedeficiency.org/?_) ) > (__http://www.primaryimmunedeficiency.org/?__'>http://www.primaryimmunedeficiency.org/?__ (http://www.primaryimmunedeficiency.org/?_) > (_http://www.primaryimmunedeficiency.org/?_ (http://www.primaryimmunedeficiency.org/?) ) ) There is >>> LOTS of info there as well as there is info on this group if you got > to >>> the >>> resources area. >>> BARBIE >>> ________________________________ >>> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >>> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >>> ___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) _ > (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) >>> Sent: Fri, January 28, 2011 4:20:24 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi > Barbie, >>> I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. >>> Then he said if that doesn't' help he will try another shot and then > Iv >>> therapy if needed. I am very new to this and trying to learn as much > as >>> I >>> can >>> and I am so thankful for these groups. >>> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > _mother5590@..._ (mailto:mother5590@...) writes: >>> I think it may be Selective Polysaccharide Antibody Deficiency. I have > never >>> heard the other phrase. It is the test they do with either > Pnuemovaccine >>> or >>> Prevnar to test for antibody response and whether they keep them. I > would >>> encourage you to talk to him more to see what he suggests to do such > as >>> using >>> antibiotics to prevent infection. Generally this is one of the areas > of >>> deficiencies that may require some support. >>> BARBIE >>> ________________________________ >>> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >>> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >>> ____ _ (mailto:___ ) _ (mailto:___ _ (mailto:__ ) ) _ > (mailto:___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) ) _ (mailto:___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) _ (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) ) Sent: > Mon, January 24, 2011 4:02:02 AM >>> Subject: Selective Carbohydrate Antibody Deficiency >>> Hello Everyone, >>> I have a 15 year old son with learning disabilites who has had chronic > sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >>> viruses since pre School age. He doesn't get sick to often in the > summer >>> or >>> when on vacations from school. Which his school and his doctors think > he >>> fakes being sick to get out of school. I had told them I think his > immune >>> system is compromised which is why he is well when he is home and gets > sick >>> when he returns to school with all the germs and illness. Well I have > taken >>> him to many specialists and his pediatrician said all his test were > normal. I >>> took him to a Allergist/Immunologist out of Yale New Haven hospital in > Ct. >>> he took 12 tubes of blood and diagnosed him with Selective >>> Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >>> So >>> he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does >>> anyone else have this conditions? Any information would be greatly > appreciated. >>> I am grateful for this group and look forward to corresponding with > you >>> all. >>> Sincerely, >>> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >>> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 Here are the items in the blood test that were not normal: HCT MVV Vitamin D (all were LOW) The doctor circled on the blood test results for the Immuneglobolin G and M there was no result which I have no idea what that means. MCHC-HIGH Immuneglobuin Serum G (LOW) Blood tests done prior to this by another doctor his Immuneglobolin G was LOW and he was Anemic. He gave him the pneumonia shot when he gave us the results and wants to repeat the blood work in 2 months. He said he is only susceptible to having sinusitis and pneumonia. So far since the pneumonia shot he has been well. Because he usually has 1-2 sinus infections a month. He said when he gets the results of the next blood work and if they are good then we are done if not we will talk then. He was getting 14 sinus infections during the school year for many years until finally this diagnosis. Is this condition genetic should my other children be tested? I have autoimmune Lupus, and Sjogrens should I be tested also?What is SAD? Thanks so much for the response and info. it is much appreciated! In a message dated 2/7/2011 10:55:05 P.M. Eastern Standard Time, mindy@... writes: I went back and read your original post. From what I can tell, the only test that was abnormal was the Pneumococcal Immunity Panel (14-Serotypes), which is usually done to test the body's response to polysaccharide vaccine. Is that correct? All his Immunoglobulin levels, and other vaccine titers were normal? did he have IgG subclasses done also? Going on the supposition that the above info is correct, and the other tests were negative, the doctor wants to repeat a pneumovax, wait 1-2 months, then repeat the panel and see how he responded. This is part of a typical work-up for the immune system. IF enough of his 14 antibodies respond, then he does NOT have SAD, and he does not have an immune deficiency. If they do not respond, or he has a minimal response, then it is likely that he does have SAD. In that case, if he does have SAD, then he is particularly susceptible to the bacteria that cause RESPIRATORY bacterial infections (like pneumococcal). That is still good news, because he is not at increased risk for other types of bacterial infections. Depending on his clinical picture, the doctor may choose to rotate antibiotics on a regular basis OR start him on IVIG. His avoidance of infections will depend on your family's comfort level, imho--i.e. how far you go with it. If my kids are sick, they don't go anywhere to pick up something else until they get well (they are more susceptible). We try to stay away from anyone who is sick, and within reason, isolate sick people within the house. We wash hands like crazy, and use antibacterial gel all the time. We have it in all our vehicles and in every room in the house The whole family has to try to keep well! We all have asthma, even if not ID, so a cold can be debilitating all around. We chose to homeschool for many reasons, but one of them was because got sick EVERY time he went somewhere, especially in winter. Homeschooling makes it more flexible when he is sick, too, so he can make up his schoolwork when he feels better. But not everyone chooses homeschooling. You already know that he gets sick a lot. You are probably already doing this, anyway. But there is a fine line between protecting him from infection, and alienating friends. Especially at your son's age, he still needs to go and do something with his friends when he is well. You can make sure that you choose venues carefully, i.e. no really crowded places in the middle of flu season We like to meet outdoors unless it's really frigid! Over at someone's house is better than the mall... Just use your judgement. Now it is a waiting time until you get your son's test results back. I was tested after my son's diagnosis because I also have a history of severe, chronic recurrent sinusitis/bronchitis/bronchopneumonia along with my asthma (the guidelines are at least 4 times/year). My first year as a nurse, I had bronchopneumonia 7 times!! If you do not have recurrent bacterial infections, it is unlikely that you have an immune deficiency. You can go back and read some of the old posts on this list, too. They are very informative. Mindy, mom of seven, ages 4.5-13, including , 8, CVID plus > So what I gather from it in simple terms is he has a immune deficiency where he doesn't produce antibodies to fight off infections? And I should > try > to keep him away from sick people so he doesn't get ill? Should I have my > other children tested also? We are in CT. the doctor is a > Allergist/Immunologist out of Yale New Haven. My son has had chronic sinusitis since pre > school age and we just got a diagnoses. I have autoimmune conditions such > as > Lupus. Sjogrens should I be tested also? And thanks so much for all your > help > to all that responded it is much appreciated! > In a message dated 2/7/2011 6:06:08 P.M. Eastern Standard Time, > _mindy@..._ (mailto:mindy@...) writes: > Now, I am going to take a stab at this. But first, where are you located > and what training has your doctor had? It may be that he trained where the terminology was different. According to Ursula's search the definition IS that of selective antibody deficiency. This is why: Many bacteria are surrounded by a polysaccharide capsule, which both provides the antigens against which antibodies can act, the molecules that > largely determine how virulent and pathogenic the organism and protects the main bacterial cell from the bodies defense systems. The carbohydrate > part of the bacteria is the polysaccharide capsule. Pneumovax and the meningococcal vaccine are polysaccaride vaccines. > On the other hand, a conjugate vaccine is a protein attached to the polysaccharide capsule to help it work better. DTaP and Hib are examples > of conjugate vaccines. One reason this was important to me, is that IgG1 > builds antibodies against conjugate vaccines, and IgG2 builds antibodies > against polysaccharide vaccines. So my son, who is severely deficient in > IgG1 (as part of his CVID), doesn't form antibodies for Tetanus, for example. > from: > __http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg_ (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg) -subclass-deficiency.html_ > (_http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-su\ bclass-deficiency.html_ (http://www.immunedisease.com/patients-and-families/about-pi/types-of-pi/igg-sub\ class-deficiency.html) ) <<While all the IgG subclasses contain antibodies, each subclass serves somewhat different functions in protecting the body against infection. For > example, the IgG1 and IgG3 subclasses are rich in antibodies against proteins such as the toxins produced by the diphtheria and tetanus bacteria, as well as antibodies against viral proteins. In contrast, antibodies against the polysaccharide (complex sugar) coating (capsule) of > certain disease-producing bacteria (e.g. the pneumococcus and > Haemophilus > influenzae) are predominantly of the IgG2 type.>> > <<Clinical Presentation of Subclass Deficiency: > Recurrent ear infections, sinusitis, bronchitis and pneumonia are the most > frequently observed illnesses in patients with IgG subclass deficiencies. > Both males and females may be affected. Some patients will show an increased frequency of infection beginning in their second year of life. > In other patients the onset of infections may occur later. Often a child > with IgG subclass deficiency will first come to the physician's attention > because of recurrent ear infections. Somewhat later in life, recurrent or > chronic sinusitis, bronchitis and/or pneumonia may make their appearance. > In general, the infections suffered by patients with selective IgG subclass deficiencies are not as severe as those suffered by patients who > have combined deficiencies of IgG, IgA and IgM (for example X-linked agammaglobulinemia or common variable immunodeficiency).>> > This is what we were talking about: > <<An additional subset of patients have normal immunoglobulin levels and > normal IgG subclasses, yet fail to produce protective antibody levels in > response to infections with Streptococcus pneumoniae or to vaccines against this bacteria. These patients are thought to have a Specific Antibody Deficiency (SAD) and are usually grouped along with patients with > IgG subclass deficiency.>> > I also found a reference to a group of patients with normal > immunoglobulin > levels, but they do have Specific Antibody Deficiency--SAD (they don't respond well to pneumovax). The number quoted in this textbook was 23% of > patients referred to an immunology center (not the general population!). > Maybe that is where he gets his numbers? > __http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+_ (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+) antibody+deficiency+general+population & source=bl & ots=KjwOYAMR_e & sig=o8XLM9Vg U0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf5qqEB & sa=X & oi=book_result & ct=res ult & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=specific%20antibody%20deficiency% 20general%20population & f=false_ > (_http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+ant\ ibody+deficiency+general+population & sourc_ (http://books.google.com/books?id=7-XAYMSbmeIC & pg=PA89 & lpg=PA89 & dq=specific+anti\ body+deficiency+genera l+population & sourc) e=bl & ots=KjwOYAMR_e & sig=o8XLM9VgU0rZd0Pr0LTH9BUQi3U & hl=en & ei=y3VQTYuwOsHFgAf 5qqEB & sa=X & oi=book_result & ct=result & resnum=5 & ved=0CDIQ6AEwBDgK#v=onepage & q=s pecific%20antibody%20deficiency%20general%20population & f=false) > If your son has IgG subclass deficiency with normal total IgG levels, and > responds to pneumovax, he won't be treated with IVIG. It doesn't mean that he doesn't have IgG subclass deficiency! He just doesn't need IVIG. > Some kids with IgG subclass deficiency need rotating antibiotics, etc. If > he has SAD, he may need more agressive treatment. If he has IgG subclass > deficiency AND SAD, he may need IVIG; it is done on a case-by-case basis. > It sounds like the doctor was trying to avoid some education. Of course this is genetic! I have milder IgG subclasses deficiency with borderline > titers and total IgG, my son has more severe CVID > Hope this helps some. > Mindy > mom of seven in Va. >> Ok the doctor just called and told me to google only Carbohydrate > Antibody >> Deficiency. And he said the what it mans is that bacteria has >> carbohydrates (sugars) in then and my son doesn't respond to them.And > that >> 1 in 100 people have this and his genes don't work on bacteria mucus is > carbohydrates.And it is a common syndrome.3-4 of his genes are not working >> right.And I can have it being his mom if I get sinusitis.I asked if he > is >> susceptible to infections and he said only sinusitis and pnemonia. I > asked >> is he has a immune deficiency and he said no. If my son responds to the > pnemonia shot he hgave him then he said we are done if not then we will talk about that then.I aksed is he can have his vaccinations and he said > yes.And it is not genetic.Now I am more confused,LOL. It doesn't take much.I can't seem to find any info. on the web that a person other than a >> doctor can undserstand.If anyone knows of this condition or knows where > I >> can get info on it please let me know it would be greatly appreciated! > You >> can email me directly if that is ok at __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ > (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) Thanks in > advance! >> >>> sorry it is the __http://www.primaryimmune.org__ (http://www.primaryimmune.org_/) > (_http://www.primaryimmune.org/_ (http://www.primaryimmune.org/) ) The antibody deficiency > can >>> be a >>> symptom of several different immune deficiencies or a deficiency alone. > It will >>> be up to your doctor to figure out which one your son fits into. My son > we >>> believe has CVID but they often will not diagnose it until later in > life. But he >>> has a multitude of both B and T cell issues that they put together into > a >>> specific Common Variable immune Deficiency. I would get a second > opinion >>> of >>> another Immunologist to get another opinion so you can choose how to > deal with >>> it for your son. The important thing is to try to protect his organs so > that >>> they will last him a life time. >>> BARBIE >>> ________________________________ >>> From: " AngSabAlMom@... " <AngSabAlMom@...> >>> __ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) >>> Sent: Sun, January 30, 2011 5:13:57 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency I have > been to the primaryimmune.org the link that you provided didn't seem >>> to work I read a lot and they sent me much information for which I am > grateful for. Thanks for your information and help it is greatly appreciated! >>> Sincerely, >>> >>> In a message dated 1/28/2011 2:04:55 P.M. Eastern Standard Time, > mother5590@... writes: >>> the pneumonia vaccine is the Pneumovaccine and that is how they test > the >>> antibodies. So the words I used would be correct. Have you gone to the > Immune >>> Deficiency Foundation website > ___http://www.primaryimmunedeficiency.org?___ (http://www.primaryimmunedeficiency.org/?__) > (_http://www.primaryimmunedeficiency.org/?__'>http://www.primaryimmunedeficiency.org/?__ (http://www.primaryimmunedeficiency.org/?_) ) > (__http://www.primaryimmunedeficiency.org/?__'>http://www.primaryimmunedeficiency.org/?__ (http://www.primaryimmunedeficiency.org/?_) > (_http://www.primaryimmunedeficiency.org/?_ (http://www.primaryimmunedeficiency.org/?) ) ) There is >>> LOTS of info there as well as there is info on this group if you got > to >>> the >>> resources area. >>> BARBIE >>> ________________________________ >>> From: " _AngSabAlMom@..._ (mailto:AngSabAlMom@...) " >>> <_AngSabAlMom@..._ (mailto:AngSabAlMom@...) > >>> ___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) _ > (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) >>> Sent: Fri, January 28, 2011 4:20:24 AM >>> Subject: Re: Selective Carbohydrate Antibody Deficiency Hi > Barbie, >>> I couldn't find anything online about his diagnoses. The doctor gave > him a pneumonia shot and a blood work order to test his blood in 2 months. >>> Then he said if that doesn't' help he will try another shot and then > Iv >>> therapy if needed. I am very new to this and trying to learn as much > as >>> I >>> can >>> and I am so thankful for these groups. >>> In a message dated 1/24/2011 1:52:35 P.M. Eastern Standard Time, > _mother5590@..._ (mailto:mother5590@...) writes: >>> I think it may be Selective Polysaccharide Antibody Deficiency. I have > never >>> heard the other phrase. It is the test they do with either > Pnuemovaccine >>> or >>> Prevnar to test for antibody response and whether they keep them. I > would >>> encourage you to talk to him more to see what he suggests to do such > as >>> using >>> antibiotics to prevent infection. Generally this is one of the areas > of >>> deficiencies that may require some support. >>> BARBIE >>> ________________________________ >>> From: " __AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) " >>> <__AngSabAlMom@..._ (mailto:_AngSabAlMom@...) _ >>> (mailto:_AngSabAlMom@..._ (mailto:AngSabAlMom@...) ) > >>> ____ _ (mailto:___ ) _ (mailto:___ _ (mailto:__ ) ) _ > (mailto:___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) ) _ (mailto:___ _ (mailto:__ ) _ (mailto:__ _ (mailto:_ ) ) _ (mailto:__ _ (mailto:_ ) _ (mailto:_ _ (mailto: ) ) ) ) Sent: > Mon, January 24, 2011 4:02:02 AM >>> Subject: Selective Carbohydrate Antibody Deficiency >>> Hello Everyone, >>> I have a 15 year old son with learning disabilites who has had chronic > sinusitis, asthma, allergies, stomach pain, headaches, fatigue and >>> viruses since pre School age. He doesn't get sick to often in the > summer >>> or >>> when on vacations from school. Which his school and his doctors think > he >>> fakes being sick to get out of school. I had told them I think his > immune >>> system is compromised which is why he is well when he is home and gets > sick >>> when he returns to school with all the germs and illness. Well I have > taken >>> him to many specialists and his pediatrician said all his test were > normal. I >>> took him to a Allergist/Immunologist out of Yale New Haven hospital in > Ct. >>> he took 12 tubes of blood and diagnosed him with Selective >>> Carbohydrate > Antibody Deficiency. His IGG (14 subclasses) are pretty much non existent. >>> So >>> he isn't producing antibodies to fight off infections. I was unable to > find anything specific to Selective Carbohydrate Antibody Deficiency does >>> anyone else have this conditions? Any information would be greatly > appreciated. >>> I am grateful for this group and look forward to corresponding with > you >>> all. >>> Sincerely, >>> __Angsabalmom@..._ (mailto:_Angsabalmom@...) _ >>> (mailto:_Angsabalmom@..._ (mailto:Angsabalmom@...) ) >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] >>> [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 This doctor is the first to diagnose him in 12 years this has been going on since pre school age, I am thankful for him. He is very smart and just talks to fast and doesn't simplify it for me which confuses me even more. It took this long to find him isn't that a shame my son suffered with chronic sinusitis for 12 years! In a message dated 2/7/2011 11:11:34 P.M. Eastern Standard Time, uahollem@... writes: Go for a second opinion. Knowledgeable as we are, we are still just the Moms of our own kids. Ursula Alsp everyone please remember to sign your posts and delete all previous replys. Makes for a cleaner and easier to search digest Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 This doctor is the first to diagnose him in 12 years this has been going on since pre school age, I am thankful for him. He is very smart and just talks to fast and doesn't simplify it for me which confuses me even more. It took this long to find him isn't that a shame my son suffered with chronic sinusitis for 12 years! In a message dated 2/7/2011 11:11:34 P.M. Eastern Standard Time, uahollem@... writes: Go for a second opinion. Knowledgeable as we are, we are still just the Moms of our own kids. Ursula Alsp everyone please remember to sign your posts and delete all previous replys. Makes for a cleaner and easier to search digest Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2011 Report Share Posted February 23, 2011 Yesterday I took my son to a Hematologist/Oncologist because in Nov. he had a swollen spleen and lymph nodes and I have had cancer and many family members. This doctor saw his blood work and said he has CVID (isn't that the general term?) he would like to start him on IVIG therapy the Allergist/Immunologist who diagnosed him with Selective Carbohydrate Antibody Deficiency gave him a pneumonia shot and wants to check his blood in 2 months and if it is better he said he will be done with treatment if not he will try another shot prevnar or something similar sounding to that and id that doesn't work then will do IVIG therapy. I don't know which doctor I should let treat him and how? He currently has a sinus infection and my fear is since he has had so many that he will become immune to antibiotics and when he really needs them they will not work. What are the risks and side affects of IVIG therapy. And thoughts and or suggestions would be appreciated. Thanks in advance. Sincerely, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2011 Report Share Posted February 24, 2011 What doctors treat these conditions I have been to a Allergist/Immunologist and a Hematologist/Oncologist. Someone had mentioned a Infectious Disease doctor? In a message dated 2/23/2011 10:24:57 A.M. Eastern Standard Time, AngSabAlMom@... writes: Yesterday I took my son to a Hematologist/Oncologist because in Nov. he had a swollen spleen and lymph nodes and I have had cancer and many family members. This doctor saw his blood work and said he has CVID (isn't that the general term?) he would like to start him on IVIG therapy the Allergist/Immunologist who diagnosed him with Selective Carbohydrate Antibody Deficiency gave him a pneumonia shot and wants to check his blood in 2 months and if it is better he said he will be done with treatment if not he will try another shot prevnar or something similar sounding to that and id that doesn't work then will do IVIG therapy. I don't know which doctor I should let treat him and how? He currently has a sinus infection and my fear is since he has had so many that he will become immune to antibiotics and when he really needs them they will not work. What are the risks and side affects of IVIG therapy. And thoughts and or suggestions would be appreciated. Thanks in advance. Sincerely, [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2011 Report Share Posted February 25, 2011 we see an infectious disease dr for my kids cvid. He also orders their IVIG.He's been great. valarie mom to 3 w/cvid > > What doctors treat these conditions I have been to a > Allergist/Immunologist and a Hematologist/Oncologist. Someone had mentioned a Infectious > Disease doctor? > > > In a message dated 2/23/2011 10:24:57 A.M. Eastern Standard Time, > AngSabAlMom@... writes: > > > > > Yesterday I took my son to a Hematologist/Oncologist because in Nov. he had > > a swollen spleen and lymph nodes and I have had cancer and many family > members. This doctor saw his blood work and said he has CVID (isn't that > the > general term?) he would like to start him on IVIG therapy the > Allergist/Immunologist who diagnosed him with Selective Carbohydrate > Antibody Deficiency > gave him a pneumonia shot and wants to check his blood in 2 months and if > it is better he said he will be done with treatment if not he will try > another shot prevnar or something similar sounding to that and id that > doesn't > work then will do IVIG therapy. I don't know which doctor I should let > treat > him and how? He currently has a sinus infection and my fear is since he > has had so many that he will become immune to antibiotics and when he > really > needs them they will not work. What are the risks and side affects of IVIG > therapy. And thoughts and or suggestions would be appreciated. Thanks in > advance. > Sincerely, > > > [Non-text portions of this message have been removed] > > > > > > > Quote Link to comment Share on other sites More sharing options...
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