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RE: Re: Knee swelling

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In a message dated 10/29/00 2:30:16 PM Pacific Standard Time,

mwheel99@... writes:

<< Juvinile

Rheumatoid Arthritis (JRA), >>

Hi, Thanks for the info. 3 years ago had this test due to his knee

sweeling. We ended up in the hospital but there was no explanation why it

was happening. JRA was negative at that time. He also had an elbow become

red hot and swell while we were in the Dr office.(three years ago) They

can't explain why. It has not happened again since IVIG until this weekend.

He is doing better today. The swelling in the knee has gone down and he has

not complained about pain. I have e mailed his immune Doc to see what he

thinks.

Thanks for the info. Maybe its something we need toi address.

le

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MAry,

Thanks for the information. s knee was a little puffy today and warm

around the joint. He says it doesn't hurt. I have made an appt with his

pediatrician to have him look at it.

Thanks again for the info.

le

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- do they do routine liver levels on Hannah? When Macey was on

Naproxen they scheduled lab work every so often to make sure her liver

levels weren't elevated. The Rheumatologist said it was because she was on

the Naproxen. Thankfully she hasn't had to take any since July so the lab

work was discontinued.

Ursula Holleman uahollem@...

and Macey's mom (5 yr. old with CVID, asthma, sinus disease, GERD,

kidney reflux, Sensory Integration Disorder, Diabetes Insipidus)

http://www.pedpid.com

/group/PedPID

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Alberto, hello! I noticed from your group posting that you are questioning

Anas' diagnosis of CVID. My interest has been roused (naturally curious, you

know!) and I am wondering what progress you have made with the search for

help for your daughters' PIDS.

I sincerly hope she is doing well at the moment,

Take care,

- mum to and

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from Dale, Mom to Katy, CVID, age 16

Dear Alberto,

I'm in a hurry, so hope this doesn't come out jumbled. First of all,

greetings! Then -- not ALL of our pumpkins have serious complications --

that is a result of only the sicker ones having as much to talk about. I

hope that didn't come across poorly, but my impressions is that there are

lots of pumpkins that are getting their IVIG and going about their lives

pretty normally. They usually participate in this group for a while and then

get too busy living almost normal lives to keep up with our discussions.

My daughter, Katy, has NEVER had a lung infection, only 1 major-major sinus

infection. Most of her problems have been digestive and fatigue.

The rash pictures of course do not come through this group's set up. But, I

do know that Katy's various rashes have so far all come up as fungus. Maybe

that will help you isolate this one.

And finally, at 9 months of IVIG I was ranting and raving for some

improvement and I couldn't see it, but at 1 year I reviewed my notes for one

year earlier and the change was obvious!

Best wishes for you and yours,

In His service,

Dale

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,

Liver damage is a very rare side effect of all non-steroidal

anti-inflammatory drugs (naproxen included). I personally think that maybe

the liver function tests should only be checked every time has her

bloods taken for immunological tests thus avoiding any further " sticks " .

I think you might have been very unfortunate so far with the nurses. I

cannulate my daughter every three weeks and she has got dreadful veins, but

I always manage to find one somewhere. There are many ways in which you can

make veins to " stand " better:

- Warming the area

- Avoiding EMLA, which makes veins to disappear.

- Lots of drinking water in the 24 hours prior to the infusion

- Trying different sites, like veins in the feet or ankles (long saphenous

vein).

- There is a cream called " percutol " (this is available in the UK and I

think it is also available in the USA, but maybe with a different name) that

contains GTN and is used by patient suffering from angina. This cream, used

in small amounts over the vein to be used has a very potent vasodilator

effect and makes cannulation much easier.

- And above all...lots and lots of patience.

The problem with the veins rolling and blowing is due to lack of experience.

might need a port in the future, by from what you tell us I personally

think she is very far from needing one. I would try and avoid a port as long

as you can as in the end it is a foreign body in permanent contact with her

blood stream and will cause more complications than the sticks.

All the best,

Alberto, Ana's dad (??CVID), 3 years old.

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Hi, ,

Ana's Immunologist has frequently used the terms " evolving

immunodeficiency " , lymphocyte functional defect and a " problem of immune

regulation " and she has also introduced us to the concept of CVID, but I

know she has not pin-pointed the problem yet... after over a year of

investigations.

Ana's Immunoglobulins were normal when she was at her worst

clinically, but her IgA, IgM and IgG2 have been low since September 99.

In January 2000 they wanted to start her on steroids, but I insisted

we should try IVIG first, but nothing has improved since that wasn't already

improving.

From my correspondence with the group I have noticed that all the

pumpkins seem to have a serious problem with repeated infections

(respiratory, sinus, ears, urinary,...), but Ana only suffers from upper

respiratory tract infections, and apart from more cough and runnier nose

than normally she is never poorly in herself: she is neither more tired,

lethargic or suffers from temperature.

Anyway, I enclose several documents with this e-mail for whoever is

interested in reading them: Ana's medical history, her immunoglobulins and 4

pictures so you can see this unusual rash she had last year, and a

photograph from this summer (some improvement!).

Any contribution is welcome.

Sorry about the size of the message.

Love for all,

Alberto

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- what is Hannah's range of motion like in her affected joints? The

Rheumatologist macey saw said she didn't have JRA because she had full range

of motion. The swelling and pain is still there with the therapist saying

she's still very symptomatic but we'll just keeping going to therapy.

Ursula Holleman uahollem@...

and Macey's mom (5 yr. old with CVID, asthma, sinus disease, GERD,

kidney reflux, Sensory Integration Disorder, Diabetes Insipidus)

http://www.pedpid.com

/group/PedPID

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