Smarties

ZR Hyper-IgM

By katiefrith

  • Onset of symptoms

    Fever, weight loss, anaemia and oro-pharyngeal ulceration

  • Diagnosis

    CD40L deficiency confirmed

  • Initiation of IVIG and Bactrim

    IVIG and Bactrim

  • Steroids added

  • IVIG dose increased

  • LBO and NGT feeds commenced

  • GCSF started

  • Coombs positive haemolytic anaemia

  • Epididymitis

  • HSCT work up

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