Mothering › Forums › Parenting › Special Needs Parenting › Immunology results
New Posts  All Forums:Forum Nav:

Immunology results

post #1 of 5
Thread Starter 
I got the rest of Connor's yearly immunology tests. Basically, he's low across the board in t-cells still, BUT as he ages the reference range is lowered so it's less of an impact on him.

CD3% Total T Cells, 57 (low)
CD3 Total T Cells, 2217 (low)
CD4 % Helper T Cells, 36 (low)
CD4 Total Helper Cells, 1406 (low)

CD8s were all in the normal range (suppressor cells) so that brought his helper/suppressor ratio up just barely into the "normal" range (1.84, range of 1.17-6.22)

Total B cells was 1172 (no range given?)
% B cells was 31 (no range?)
% natural killer cells was 10 (no range?)

ALL of his Mitogens were normal, most were 100, a few were in the 70s-80s, but that's considered normal.

His IgG was normal, IgA normal, and IgM was low (35, range 47-160).

SO...the dr said that he likes these numbers, that they portray a "mild" or "subtle" immune deficiency (versus the "moderate" he used to have). He said that we still need to be very aggressive about treating illnesses because he will still be more likely to become more sick and/or have complications from simple illnesses.

He said that still what's going on is that Connor's t-cell count is low, but function appears normal. Basically he doesn't have enough, but those that he does have are doing their jobs well. The b-cells appear normal, even though illness history suggests there might be some dysfunction.

The dr's guess is that any illnesses Connor has now are more likely caused primarily from his anatomy than from his underlying immune deficiency. So in other words, his physical malformations are putting him at higher risk of illness than his immune system is. Which still supports the guidance we've received to not put him "in a bubble"; just to take sensible illness precautions.

So...yay! Good to have good news! Everything is as we would expect with his syndrome.
post #2 of 5
Well, that's cool (mostly, right?)! I'm always glad to hear when a doc says not to "bubble" a kid. It just seems counter-intuitive.

What accounts for the improvement?
post #3 of 5
Thread Starter 
Quote:
Originally Posted by AndVeeGeeMakes3 View Post
Well, that's cool (mostly, right?)! I'm always glad to hear when a doc says not to "bubble" a kid. It just seems counter-intuitive.

What accounts for the improvement?
It is counter-intuitive, BUT I'm very much not a mom that's suited for a "bubble boy" anyway! I'm outgoing, active, extroverted, so if he had a type of immune deficiency that did require us to isolate him more, it would be REALLY hard!!

The "improvement" is only because as he ages the reference range is lower. Basically you don't need as much of an immune system when you're older. So his numbers are basically the same (his CD4 was 1300 before, is 1400 now, which isn't a huge difference, and the test has some variance) but the range of "normal" is lower (before the range was 2300-2900, now 1900 is the lower limit).

And we've known all along that this type of immune deficiency can "get better" through exposure to illness. Most kids only get exposed once or twice to a particular bug and then build an immunity. He has to get exposed several more times before building immunity. But he CAN build that immunity. So it takes time and continued exposure for his immune system to "learn" and to "remember".

Because his low t-cells are from his malformed thymus, he will never have more t-cells, but the t-cells he does have will learn to function better.
post #4 of 5
I think I mis-phrased it. I mean that "bubbling" a kid seems counter-intuitive, not doctors who say not to.

I'm kind of scared about this issue for VeeGee because I'm charting the frequency of sickness and starting to worry that it's awfully frequent. Like you said about Gavin, it just seems like a threshold of TOO MUCH. I admire your grace with dealing with THREE! Zoiks.
post #5 of 5
Yay!! Love reading good news.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Special Needs Parenting
Mothering › Forums › Parenting › Special Needs Parenting › Immunology results