sandra
Forum Guru
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A 4-month-old boy is brought to the physician because of a 2-day history of fever and progressive redness around his right eye. He has had persistent diarrhea and oral candidiasis since birth and was treated for pneumococcal pneumonia at the age of 2 months. He appears ill. His temperature is 39 C (102.2 F), pulse is 130/min, and respirations are 25/min. Examination shows violaceous preseptal (periorbital) cellulitis and oral candidiasis.
Laboratory studies show:
Hemoglobin 10 g/dL
Leukocyte count 3000/mm3
Segmented neutrophils 85%
Lymphocytes 15%
Platelet count 350,000/mm3
Serum
IgA <5 mg/dL
IgG 300 mg/dL
IgM <5 mg/dL
Which of the following is the most likely diagnosis?
A) AIDS
B) Chronic granulomatous disease
C) Severe combined immunodeficiency
D) Thymic-parathyroid dysplasia (DiGeorge syndrome)
E) X-linked agammaglobulinemia
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| sandra
Forum Guru
Topics: 199
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k..in this case, im confused torn b/n C n E. how do u tell them apart?
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| hope4dabest
Forum Elite
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Y cannot it be simply AIDS...she got IgG from mother
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| hope4dabest
Forum Elite
Topics: 16
Posts: 433
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oops..i meant "he"..
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| shahnaz.r
Forum Junior
Topics: 7
Posts: 77
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?C
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| nyimalay
Forum Elite
Topics: 9
Posts: 280
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I am trying to differentiate between Bruton and SCID.
Both have reduced all types of immunoglobulins and similar symptoms.
Bruton affect only B cells.
In this case , candidiasis suggest T cells function is also affected.
I would go for C.
Please post correct answer.
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| Achillis
Forum Newbie
Topics: 1
Posts: 12
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C
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