Marcela Odaira - Clinical Immunology Society

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LABORATORY EXAMS Anemia Leukocytosis (up to 40,000/ml)* High levels of C-reactive protein (23.8-284.5 mg/dL)* Elevated erythrocyte sedimentation rate (50-70mm)* IgG levels ranging from 1,458 up to 2,457 mg/dL IgA levels ranging from 614 up to 975 mg/dL Normal lymphocyte immunophenotyping Normal myelogram Abdominal ultrassound: hepatosplenomegaly* higher levels during attacks
SUMMARY 13 year-old boy Recurrent episodes of fever Associated with adenopathy and hepatosplenomegaly Infections: 5 pneumonias, suppurative otitis, tonsilitis Acute abdomen and surgery Laboratorial tests: anemia, leukocytosis, high levels ofIgG, IgA, CRP and elevated ERS
Page 1 and 2: A 13 YEAR-OLD BOY WITHRECURRENT EPI
Page 3 and 4: HISTORY OF CURRENT ILLNESS Recurren
Page 5 and 6: TIME LINE
Page 7: PHYSICAL EXAM Underweight Short sta
Page 13 and 14: MEVALONATE KINASE DEFICIENCY Autoso
Page 15 and 16: Clin Pharm & Therapeutics 2004;75(5
Page 17 and 18: CLINICAL FEATURES OF HIDSMedicine 2
Page 19 and 20: LABORATORY FINDINGS Elevated erythr
Page 21: TREATMENT Simvastatin was prescribe

Marcela Odaira - Clinical Immunology Society

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