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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@...

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Share on other sites

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]

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Share on other sites

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]

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Share on other sites

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]

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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@...)

>

>

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Share on other sites

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@...)

>

>

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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]

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Share on other sites

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]

Link to comment
Share on other sites

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]

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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]

>

>

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Share on other sites

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@...) )

> >

> >

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Share on other sites

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]

>>

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Share on other sites

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]

>>

Link to comment
Share on other sites

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]

Link to comment
Share on other sites

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]

>

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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

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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

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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]

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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]

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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

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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

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  • 2 weeks later...

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,

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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]

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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]

>

>

>

>

>

>

>

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