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Topics:
General Internal Medicine
•
Vaccines
•
Allergy & Immunology
Do you consider immunoglobulin replacement in a patient who has rapidly waning vaccine titers but does appropriately respond to revaccination?
Related Questions
Why are influenza and COVID vaccines still recommended for patients on immunoglobulin replacement therapy?
Do you routinely consider FDG PET/CT imaging for workup of fever of unknown origin?
How would you approach an asymptomatic older female patient with eosinophilia to 17,000, present for years, and normal eosinophilia workup including marrow and negative FLIP1?
Is omalizumab an option for a patient needing a specific antibiotic with an IgE-mediated reaction who continues to have reactions during a desensitization?
In a patient with anaphylaxis and loss of consciousness from stinging insect, suspected to be yellow jacket, the sIgE was significantly positive to all vespids, but honeybee and paper wasp were only 0.44, would you evaluate further with skin testing to wasp and decide on including wasp in treatment based on skin testing being positive or include it with just the low IgE level?
Do you favor 24 hour urinary metabolites over random urine collection when screening for MCAS?
Has anyone incidentally diagnosed IgA deficiency in a patient who does not present with any recurrent infections?
Do you diagnose MCAS if a patient is concurrently on drugs known to cause non-specific mast cell degranulation?
Do you utilize any desensitization protocols for delayed hypersensitivity reactions?
What is the rationale/evidence to support doing 4 puffs of albuterol vs. 2 puffs for a reversibility study?