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This publication was made possible by a contract from the Washington State Department of Health, Tuberculosis Division. The contents were translated by Harborview Medical Center Interpreter Services from an Seattle King County Dept. of Public Health pamphlet. Revised 7 99, because side effects.

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173, 563 ; have found that substitution of the la-hydroxyl with a I- hydroxymethyl ; group analog HP ; generated an analog with antiproliferative activities for keratinocytes. Excluding consideration of the la-hydroxyl and 3 3-hydroxyl groups, there are a few other A ring structural modifications that have been found to have a dramatic effect on biological activities see Table 2 ; . Tsurukami et al. 174 ; and Kobayashi et al. 175 ; reported that the intermittent administration of the novel analog 2 3- 3-hydroxypropyl ; la, 25 OH ; , D, was capable of stimulating bone mineral mass in an ovariectomized rat model. Perlman and DeLuca 539 ; have described the synthesis of a lPnor-la, 25 OH ; , D, . B. ring analogs Reference to Table 5 indicates that 2.3% of the 820 structural modifications of la, 25 OH ; , D, that are tabulated in Table 2 occur in the B ring. In addition, reference to Table 4, under carbon Nos. 5-10, identifies those 19 analogs plus five previtamin analogs ; , by code name, that are B ring modified. Modifications of the B ring carbons 5 to 8 ; have been introduced to evaluate the biological properties of several configurations imposed by the triene structure of la, 25 OH ; , D i.e. the 6-s-cis VS. 6-s-tram, the previtamin VS. the vitamin D, the 5-6 cis trans and 7 E Z configurations, whereas systematic substituent group changes have not been studied in detail. Up to now no analogs of l u25- OH ; , Ds have been designed with a fixed 6-s-cis or 6-s-tram configuration but the pre- VS. vitamin D configurations are probably the best approximation to the 6-cislb-tram configuration, respectively. Two approaches have been successfully evaluated: first, the removal of C from 1 a, 25 0H ; , -preD, locks the analog in the 6-cis or previtamin D-like configuration and was found to be biologically less active l-10% ; than either la, 25- OH ; , D, or la25 OH ; , -19-nor-D, ZBA ; for receptor and DBP binding as well as for biological activity in vitro and in viva 176 ; . The second approach was more sophisticated and exploited the introduction of five deuterium atoms on carbons 9, 14, and 19 ; in exchange for hydrogen in lo, 25 OH ; , -previtamin-D, 6-s-cis configuration ; so that its conversion into the vitamin D 6-s-tram configuration ; form was substantially retarded 6 X longer half-life for isomerization ; . The 6-s-trans configuration was found to be the best fit for both receptor and DBP binding and also for the genomic actions of 1 ~, 25- OH ; , D, 20-fold better than the previtamin D configuration ; whereas the 6-cis configuration seemed to be the preferred configuration for nongenomic rapid actions of vitamin D 92 ; . The 5-6 trans configuration 5E instead of the 5-6 cis or 52 configuration ; reverses the natural 3P-OH group into a pseudo la-group as in dihydrotachysterol, DHT, ; and dihydrotachysterol, DHT, ; which have therefore been used quite successfully as vitamin D analogs in the treatment of disorders with deficient 25-OHD-lc~ hydroxylase activity. Nevertheless, the pseudo-la-OH group necessitates loo-fold greater doses than the la-hydroxylated analogs 177 ; . The la, 25 OH ; , -5, 6-trans D, DI ; and lcY, 25 0H ; , -dihydrotachysterol Da have a substantially decreased receptor affinity and biological activity indicating that the C methyl or methylene ; group, now behaving as an A ring substitution.
Serophene is a 50-mg tablet that is used to treat ovulatory failure in patients desiring pregnancy. These are preceded by an earlier a P6 + 0.2 muV ; which is largest in inferior electrodes. Table.
Behavior of pharmacists was found and clomiphene. CLOMIPHENE CITRATE Clomiphene citrate Clomid and Serophrne ; is an oral medication that is commonly administered to induce ovulation in women who do not ovulate regularly. We also use clomiphene citrate for minimal stimulation IVF-ET. Typically, each 50-mg pill costs approximately $5.00 to $8.00. Mechanism of Action Clomiphene acts within the brain to promote the production of the hormone, GnRH. As a result, the pituitary gland makes more FSH and LH, the hormones that stimulate ovarian function. In particular, the increased FSH stimulates more follicles in the ovaries to grow. Dosage and Monitoring For minimal stimulation IVF-ET, the usual dosage of clomiphene is 100 mg daily for five days, beginning on day three of the menstrual period. Follicle development in response to clomiphene is most accurately determined by ultrasound. Typically, you may take a cycle pack ; of oral contraceptive pills to regulate the start of your period before stimulation. We perform an ultrasound to examine the ovaries around the time you finish the oral contraceptives. The next ultrasound will be performed the day after the last clomiphene citrate dose. Additional ultrasounds will be performed usually every other day or daily ; until the day the largest follicle measures 20 mm or more in diameter. On that day hCG, 10, 000 units will be injected intramuscularly in the evening. Oocyte retrieval will be performed 35 hours after the hCG injection. A urine ovulation predictor kit may be used in addition to ultrasound monitoring. These kits detect large amounts of LH in the urine. Once a follicle is mature, the pituitary releases a large amount of LH, called an LH surge. Most women will ovulate within 24 hours of detecting a urinary LH surge. When a spontaneous LH surge is detected in a minimal stimulation cycle, the cycle may be canceled as it is difficult to time the egg retrieval to obtain a mature egg prior to ovulation. Adverse Effects Severe adverse effects are uncommon with clomiphene citrate. First, as multiple follicles can sometimes develop, multiple pregnancies may occur. This complication is uncommon in minimal stimulation IVF-ET. Another complication is ovarian cyst formation. While these cysts usually resolve spontaneously, they may cause bloating and abdominal discomfort. On rare occasions, these cysts may rupture causing abdominal pain. Approximately 10% of women who take clomiphene citrate experience hot flashes, which may disrupt sleep. A small percentage of patients less than 5% ; report some visual changes during clomiphene citrate therapy. Some patients describe blurred vision, while other patients describe seeing spots or flashes of light or after images. You should report any of these adverse effects to your physician. There does not appear to be any increased risk of birth defects in offspring of women who take clomiphene citrate. In large studies, the risk of birth defects does not appear to be greater than that noted in the general population. Likewise, the risk of miscarriage.

If you are using a toothbrush: brush as usual rinse with sterile water swish with normal saline salt water ; and spit swish with an antifungal agent and swallow nothing to eat or drink for 20-30 minutes swish with peridex and spit nothing to eat or drink for 20 minutes a & d or vaseline to lips if using a toothette: swab all surfaces of mouth with toothettes soaked in normal saline if old enough, swish with normal saline swish with antifungal agent and swallow for babies, swab medication into mouth ; making contact with all surfaces - do not just squirt it in with a syringe and clozaril, for instance, nolvadex. Gallstones gallstones department of health and human services public health service national institutes of health what does the gallbladder do. This program is for billers who bill on the UB92 format. This class will discuss billing procedures, common billing issues and guidelines for home health providers and clozapine.

Depression Alliance Scotland 3 Grosvenor Gardens Edinburgh, EH12 5JU Phone: 0131 47 3050 E-mail: info dascot depressionalliance Depression Alliance Scotland provides information and support for people in Scotland who have depression. Diabetes UK 10 Parkway London, NW1 7AA Phone: 020 7424 1000 Careline: 0845 120 290 Best time to telephone: 9.30am - 5.30pm, Monday to Friday ; Email: careline diabetes diabetes Diabetes UK is a national organisation providing information and advice on all aspects of diabetes such as diabetic care and diet. Provides a series of information leaflets including Diabetes UK's own magazine Balance. Heart Surgery in Great Britain : heartsurgery.healthcarecommission This website has been developed by the Healthcare commission and the Society for Cardiothoracic Surgery in Great Britain and Ireland to help heart surgery patients make informed choices about their treatment. It provides patients and carers with information on the different operations available and the benefits of having heart surgery.
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Some of you knew if serophene gets better in then next couple of peliosis. Life in Detroit is comparatively informal, even for the theater or hotel dining. The Convention banquet is to be informal. Cottons or lightweight summer attire are suggested for greater comfort in case the humidity is high. Pastel silks and dark cocktail dresses are popular for evening. Jacket or top coat, a raincoat, and comfortable shoes should be included for field trips. Families of SLA members will want t o bring beach wear, as St. Clair Metropolitan Beach, the "Jones Beach of the Midwest, " is within twenty-two miles of Detroit, with direct transportation available and combivir.
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Indicator Tobacco Smoking Ages 18 + ; Cayuga County Baseline Data 24.3% 2003 ; Current Cayuga County Data 24.7% 2004 ; New York State Data 20.3% 2003 ; Healthy People 2010 Goal 12, for example, anovulation. Telehemodiafiltration Unit, Instituto Nacional de Cardiologa Ignacio Chvez, Mexico City, Mexico Introduction: Hypovolemia is the major causal factor of hypotension and depends on rate of ultrafiltration UF ; and vascular refilling. Continuous measurements of the relative blood volume RBV ; have confirmed it. An individual limit for each patient to develop symptomatic hypotension was then postulated. However inter and intra-individual variability was found. There are complex formulas than only correlate in 57% r 0.65 ; , and they have limited application. Methods: In a prospective, observational study, we included 14 patients on kidney transplantation program who received hemodiafiltration 3 times per week, without antihypertensive medications and in dry weight. They received treatments on august 2006. The RBV was monitored continuously with a blood volume monitor BVM ; . Sessions that reached the UF goal without symptomatic hypotension, we registered the minimum RBV and correlated it with UF volume and interdialytic weight gain IDWG ; expressed in percentage. Associations were evaluated by Pearson test. Results: There were 186 hemodiafiltration sessions, 93% without hypotensive events. The means of minimum RBV was 86.6 + 6.7%, of UF 2464 + 1042ml, and IDWG was 3.87 + 1.6%. We found a strong inverse correlation between minimum RBV and IDWG r 0.80, p 0.001 ; , and between minimum RBV and UF volume r 0.79, p 0.001 ; . Note from the publisher: An image was submitted to support this abstract. For technical reasons and lamivudine. Generic allergy relief drugs advair aerolate allegra benadryl bricanyl claritin d decadron dramamine periactin phenergan proventil serevent singulair ventolin zyrtec exelon sumycin diflucan sporanox elimite vermox eskalith haldol lamictal lithobid mellaril prolixin risperdal achromycin amoxyl bactrim biaxin ceclor ceftin ciloxan cipro duricef floxin garamycin keftab levaquin noroxin spectrobid trimox vibramycin zithromax anafranil celexa effexor xr elavil luvox pamelor paxil prozac sinequan tofranil wellbutrin zoloft buspar arava cataflam feldene imuran indocin sr mobic naprelan relafen zyloprim alesse ortho tri cyclen triphasil ditropan leukeran aceon adalat atacand avapro calan capoten cardizem cardura cilexetil combipres cordarone coreg coumadin cozaar diovan esidrix hydrodiuril hytrin hyzaar imdur ismo isoptin isordil lanoxin lasix lisinopril lopressor lotensin lozol minipress moduretic monoket norpace norvasc persantine plavix plendil pletal prinivil prinzide procardia rocaltrol sorbitrate tenoretic ticlid trental vaseretic vasodilan vasotec zebeta zestril lipitor lopid mevacor pravachol zocor actos amaryl avandia diamicron glucophage glucophage sr glucotrol glucotrol xl glucovance micronase prandin precose starlix aldactone microzide oretic dilantin neurontin aciphex bentyl colace cytotec detrol imodium nexium pepcid ac max strength prevacid prilosec protonix reglan zantac zofran propecia proscar combivir epivir retrovir viramune zerit cycrin danocrine deltasone levothroid prednisone provera synthroid altace inderal tenormin vastarel aralen flagyl grisactin myambutol cialis levitra viagra viagra gel viagra soft tabs antivert flexeril flextra ds robaxin soma zanaflex betagan evista fosamax mestinon sandimmune advil anacin celebrex esgic plus fioricet imitrex medipren panadol ponstel pyridium tylenol ultram eldepryl tegretol condylox rebetol zovirax atarax cleocin differin kenalog nizoral retin a synalar temovate ambien zyban compazine meridia aygestin clomid motrin naprosyn nolvadex parlodel seropnene generic dilantin, phenytoin online price compare generic dilantin phenytoin ; buy online dilantin, phenytoin is an anticonvulsant and is used to treat seizures.
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Bution is associated with a greater number of metabolic complications, such as Type 2 diabetes, hypertension, hyperlipidaemia, heart disease and stroke, compared with peripheral fat distribution fat principally located on the legs or hips ; [1]. In addition, the present study confirms previous data of other authors which show increased mortality in the leanest as well as the most obese individuals [2, 3]. It is worth noting that other data do not support this trend [4, 5]. The study provides interesting data on the role of physical activity. It was shown that very intense activity results in a 46% decrease in relative risk of death in comparison with inactivity Table I ; . In addition, even a light degree of physical activity is associated with a decrease of 31% in death rate.There is a growing interest in the importance of physical activity. A very recent study [6] of 21, 995 men, aged 3083 years, with an average follow-up of 8 years, clearly showed that lean men had increased longevity only if they were physically fit; furthermore, obese men who were fit did not have elevated mortality. As expected, unfit lean men were, in general, inactive, whereas fit obese men were highly active. This study also shows that light vs occasionVolume 11, Number 4, 1999. To help you remember to take serophene, take it around the same time every day and compazine.

Call us toll-free 1-866-978-4944 ilosone no prescription about us contact us shipping q& a shop all drugs allergies anti-depressants anti-infectives anti-psychotics anti-smoking antibiotics asthma cancer cardio & blood cholesterol diabetes epilepsy gastrointestinal hair loss herpes hiv hormonal men's health muscle relaxers other pain relief parkinson's rheumatic skin care weight loss women's health allegra atarax benadryl clarinex claritin clemastine periactin phenergan pheniramine zyrtec anafranil celexa cymbalta desyrel effexor elavil, endep luvox moclobemide pamelor paxil prozac reboxetine remeron sinequan tofranil wellbutrin zoloft albenza amantadine aralen flagyl grisactin isoniazid myambutol pyrazinamide sporanox tinidazole vermox abilify clozaril compazine flupenthixol geodon haldol lamictal lithobid loxitane mellaril risperdal seroquel zyprexa nicotine zyban achromycin augmentin bactrim biaxin ceclor cefepime ceftin chloromycetin cipro, ciloxan cleocin duricef floxin, ocuflox gatifloxacin ilosone keftab levaquin minomycin noroxin omnicef omnipen-n oxytetracycline rifater rulide suprax tegopen trimox vantin vibramycin zithromax advair aerolate, theo-24 brethine, bricanyl ketotifen metaproterenol proventil, ventolin serevent singulair arimidex casodex decadron eulexin femara levothroid, synthroid nolvadex provera, cycrin ultram vepesid zofran acenocoumarol aceon adalat, procardia altace atenolol amlodipine avapro caduet calan, isoptin capoten captopril hctz cardizem cardura catapres cilexetil, atacand clonidine, hctz combipres cordarone coreg coumadin cozaar dibenzyline diovan fosinopril hydrochlorothiazide hytrin hyzaar inderal ismo, imdur isordil, sorbitrate lanoxin lasix lercanidipine lopressor lotensin lozol micardis minipress moduretic normadate norpace norvasc plavix plendil prinivil, zestril prinzide rythmol tenoretic tenormin trental valsartan hctz vaseretic vasodilan vasotec zebeta crestor lipitor lopid mevacor pravachol tricor zocor accupril actos alpha-lipoic acid amaryl avandia diamicron mr glucophage glucotrol glucotrol xl glucovance lyrica micronase orinase prandin precose starlix depakote dilantin lamictal neurontin sodium valproate tegretol topamax trileptal valparin aciphex asacol bentyl cinnarizine colospa compazine cromolyn sodium cytotec imodium motilium nexium nexium fast pepcid ac pepcid complete prevacid prilosec propulsid protonix reglan stugil zantac zelnorm zofran propecia, proscar famvir rebetol valtrex zovirax combivir duovir-n epivir pyrazinamide retrovir sustiva videx viramune zerit ziagen aldactone calciferol danocrine decadron prednisone provera, cycrin synthroid avodart cialis flomax hytrin levitra propecia, proscar viagra lioresal soma tizanidine ibuprofen zanaflex accupril alpha-lipoic acid amantadine aralen arcalion aricept ascorbic acid benadryl bentyl betahistine calciferol carbimazole compazine cyklokapron ddavp, stimate detrol dihydroergotoxine ditropan dramamine exelon florinef imitrex imuran isoniazid lasix melatonin myambutol nimotop orap persantine piracetam pletal quinine rifampin rifater rocaltrol strattera ticlid tiotropium urecholine urispas urso vermox zyloprim acetylsalicylic acid advil, medipren celebrex flunarizine imitrex ketorolac maxalt ponstel tylenol ultram benadryl ditropan eldepryl requip sinemet trivastal advil, medipren arava colchicine decadron feldene indocin sr mobic naprosyn zyloprim betamethasone differin nizoral oxsoralen prograf retin-a xenical advil, medipren allyloestrenol clomid, serohene diflucan evista folic acid fosamax isoflavone nexium parlodel ponstel prevacid prilosec progesterone provera, cycrin rocaltrol tibolone generic ilosone generic name: erythromycin ; qty.
In 1995, 16 percent of students participating in the national yrbs reported using some other illegal drug and prochlorperazine and serophene, because clomid serophene. 585. Feasibility of extraperitoneal laparoscopic para-aortic and common iliac lymphadenectomy - Nagao S., Fujiwara K., Kagawa R. et al. [K. Fujiwara, Department of Obstetrics and Gynecology, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, 7010192, Japan] - GYNECOL. ONCOL. 2006 103 2 ; - summ in ENGL Objective.: The aim of this study is to evaluate the feasibility of extraperitoneal laparoscopic para-aortic and common iliac lymphadenectomy for cervical and endometrial carcinoma. Methods.: 115.

Missed dose if you miss a dose of serophene serophene - serophene fiorinal prescriptions with codine serophene discount pharmaceuticals serophene - , take it as soon as possible and coreg. For patients with persistent asthma of any degree of severity, an abundance of evidence has established ICSs as preferred therapy. ICSs have consistently been shown to produce better clinical and economic outcomes than do leukotriene modifiers. If a second long-term controller needs to be added to a patient's medication regimen, better results are achieved, by every measure -- clinical outcomes, utilization of medical services, asthmarelated pharmacy costs, asthma-related total costs -- by.
Twelve volunteers 6 men and 6 women ; aged 22 to 38 years mean [SD] age, 28.6 [5.5] years; mean [SD] weight, 72.9 [19.1] kg ; provided written informed consent approved by the Medical University of South Carolina Office of Research Integrity. All volunteers were determined to be healthy by history, physical examination, and basic laboratory monitoring as described elsewhere.28 All were nonsmokers, were taking no medications or supplements, and were asked to abstain from grapefruit juice, caffeine, and alcohol use during the study period. All participants were phenotyped with dextromethorphan and determined to be extensive metabolizers of CYP 2D6.30.
It is also important in terms of knowing whether concomitantly administered drugs can affect the clearance of specific ssris and hence their efficacy and tolerability. Next, we consider appellant's claim regarding the jury's finding that Dr. Celik was not negligent in his performance of the bypass procedure. In arguing that Dr. Celik was negligent in performing the bypass, appellant cites affidavit testimony by Dr. Beisser wherein she states that upon autopsy, she found that Gibson's small bowel jejunum ; had been attached to her esophagus, and that her suture line had come undone. Drs. Celik, Flanagan, and Liu, all testified that connecting the jejunum to the esophagus was wrong, and would constitute a breach of the standard of care. On these grounds, appellant concludes that the jury should necessarily have found negligence on the part of Dr. Celik. We note in this instance that a "coroner's factual determinations concerning the manner, mode and cause of death, as expressed in the coroner's report and the death certificate, create a nonbinding rebuttable presumption concerning such facts in the absence of competent, credible evidence to the contrary." Vargo v. Travelers Ins. Co. 1987 ; , 34 Ohio St.3d 27, paragraph one of the syllabus. Appellant, in making her argument that Dr. Celik was negligent, ignores abundant evidence suggesting that Dr. Celik did not, in fact, attach Gibson's jejunum to her esophagus. First, there was testimony by Dr. Celik himself, wherein he testified that he attached the jejunum to the small stomach pouch that he had created immediately adjacent to the distal end of the esophagus, not to the esophagus itself. This testimony was supported by Dr. Celik's operative report, which was dictated on the day of the procedure and was transcribed the following morning, for example, serophene clomiphene. Examples of care that should generally be provided in an outpatient setting include observation and or diagnostic studies, surgery that can be performed on a same-day basis, and psychiatric care primarily aimed at controlling or changing the patient's environment. Services or supplies not recommended and approved by a physician or other covered health care professional see page 25 ; or provided before the person becomes covered under this plan. Experimental or investigational services and supplies as defined on pages 69 and 70 ; , and related complications. Custodial care. Skilled nursing facility services when the services are not usually provided by such facilities or when the services are not expected to lessen the disability and enable the person to live outside the facility. However, skilled nursing facility services are covered for the terminal patient when the illness has reached a point of predictable end. Equipment or supplies that are not solely related to the medical care of a diagnosed illness or injury. Examples include, but are not limited to, any luxury or convenience item or supply, general exercise equipment, modification to home e.g., wheelchair ramps, support railings ; or automobile or van e.g., ramps, lifts ; , environmental control devices e.g., air conditioners, purifiers, humidifiers ; , swimming pool, spa, or whirlpool, Craftmatic or similar bed, orthopedic chair, special car seat, and any personal hygiene item. The following home health care and hospice care services: Homemaker or housekeeping services. Services provided by volunteers, household members, family, or friends. Unnecessary or inappropriate services, food, clothing, housing, or transportation. Social services. Psychiatric care. Maintenance or custodial care. Supplies or services not included in the written home health or hospice care treatment plan or not otherwise covered. Hospice services to other family members, including bereavement counseling. Hospice services of financial, legal, or spiritual counselors. Any treatment or services required in connection with a sex transformation. Infertility services and supplies, including but not limited to Artificial insemination. Embryo transfer. Gamete intrafallopian transfer GIFT ; . In vitro fertilization. Microinjections. Sperm preparation. Sperm separation. Zona drilling. Any tests, visits, consultations, or treatment related to, leading to, or resulting in one of the above listed noncovered services. Consecutive follicular ultrasounds, cycle therapy, and corresponding lab tests when associated with any artificial means of conception. Fertility drugs, including, but not limited to, Clomid, Serophene, Pergonal, or HCG, when associated with artificial means of conception.insurance are provided to assist the patient and clomiphene. Return to top serophene is typically considered a beginning therapy for patients experiencing ovulatory failure or dysfunction. Possible dosages for this and related drugs: note: may include dosages for drugs similar to serophene tablet 100%, 50mg related drug listing s ; : clomid clomiphene clomiphene most recent serophene forums: start a new discussion webmasters or publishers: link to this drug listing copy and paste the html code below to create a link to this listing from any web page or email.

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Chronic rhinosinusitis CRS ; is a chronic inflammatory disorder of mucosa of the nose and the paranasal sinuses. Two major forms of CRS can be differentiated; CRS with nasal polyps CRSwNP ; and CRS without nasal polyps CRSsNP ; . The pathophysiology and etiology of nasal polyps NPs ; are partly understood. IgG subclass deficiency was shown to be associated with an increased susceptibility to infections. However, the association between NPs and IgG subclass deficiency has never been reported. Objectives: To report two cases of recalcitrant CRS and recurrent NPs with IgG subclass deficiency. Case report: Two children 6 and 8 year-old boys ; were referred to the Pediatric Allergy Immunology Clinic, Siriraj Hospital due to a prolonged history of CRS and recurrent NPs. Both of them were treated with aggressive medical topical and systemic corticosteroids, antibiotics, leukotriene antagonist, nasal irrigation ; as well as surgical therapy, without significant improvement. Immunologic investigation in both patients showed that IgG, IgA, and IgM level were normal. IgG subclasses level in patient No. 1 were IgG1 1, 235 280-1120 ; mg dl 79% ; , IgG2 235 30-630 ; mg dl 23.5% ; , IgG3 27.3 40-250 ; mg dl 1.74% ; , and IgG4 92.4 11-620 ; mg dl 5.9% ; . IgG subclasses level in patient No. 2 were IgG1 1, 139 280-1120 ; mg dl 82.5% ; , IgG2 170 30630 ; mg dl 12.3% ; , IgG3 5.6 40-250 ; mg dl 0.4% ; , IgG4 65.7 11-620 ; mg dl 4.8% ; . The diagnosis of CRS and recurrent NPs with IgG3 subclass deficiency in the first patient and IgG2 IgG3 subclass deficiency in the second patient were made. Patient No. 1 was given monthly IVIG therapy for the total of 7 courses and medications were gradually tapered. Currently, the patient is doing well after the cessation of IVIG therapy for 3 months. Patient No. 2 denied the IVIG treatment and was lost to follow up. Conclusion: We reported two cases of recalcitrant CRS and recurrent NPs in children. Immunologic work up revealed IgG subclass deficiency. The treatment with monthly IVIG improved CRS and NPs in treated patient which brought up the possibility of association between NPs and IgG subclass deficiency. Further study on the direct role of IVIG in NPs will be needed in the future. Keywords: Chronic rhinosinusitis, Immune deficiency, Immunoglobulin subclass, IVIG, Nasal polyps J Med Assoc Thai 2005; 88 Suppl 8 ; : S251-8 Full text. e-Journal: : medassocthai journal!
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