ZR Hyper-IgM By katiefrith Nov 2, 2011 Onset of symptoms Fever, weight loss, anaemia and oro-pharyngeal ulceration Jan 10, 2012 Diagnosis CD40L deficiency confirmed Jan 12, 2012 Initiation of IVIG and Bactrim IVIG and Bactrim Jan 25, 2012 Steroids added Feb 2, 2012 IVIG dose increased Apr 17, 2012 LBO and NGT feeds commenced Apr 19, 2012 GCSF started Apr 25, 2012 Coombs positive haemolytic anaemia Aug 2, 2012 Epididymitis Sep 2, 2012 HSCT work up