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Kathy Mild AA  7/2000 One Course Cyclosporine - Counts Below Normal and Falling
 
History of hypogammaglobulinemia since my 20's. Had problems with bleeding when I had surgery to remove adnoids/tonsils when I was 10 years old. Lots of problems with ear infections, respiratory infections and digestive track problems which can be associated with low IgA and IgG in retrospect. HPV when I was 35 and CA cervix. No chemo or radiation done, just radical hysterectomy.

Enlarged thymus - removed 1991. First petechia noted in 1993 - suspect drug Zoloft. Second petechia summer of 1999 - suspect drug Lamisil. Third petechia - March 2000 and hospitalized when blood counts were found to be all below normal - suspect trigger again of medications - Neupogen and Macrobid. Diagnosis of mild AA in July 2000 - one course of Neoral (cyclosporine) and counts rose to almost bottom of normal ranges. 

Taper completed April 2001 and remission for 2 months - blood draw on July 9, 2001 showed all counts falling again and resumed 200Mg Neoral with Magnesium. Having evaluation at NIH on August 7, 2001.

10/2000 Update:  Local hematologist jumped the gun and specialist had me stop
cyclosporine after 2 weeks.  Nothing new found on visit to NIH in August
and was just a confirmation of my diagnosis.  Counts continue to slowly
degrade.  Trigger levels to re-evaluate treatment options have been set
to WBC 1, or Hb 8 or Platelets 40,000 or below.  All doctors I have seen
want to see if I can maintain without any further treatment.

 

 


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