Childhood Diseases

Question
Posted by: Elle | 2011-11-04

Q.

RE: 662 [Glandular Fever ...]

Dear Professor

Thank you for your reply.

I had hoped you would also have said that the PCD diagnosis is most probably not correct (the consensus is that it is a very technical and that something could have been wrong with the examination or the biopsy). But deep down, I really knew that it is right.

Working with doctors who don’ t support the diagnosis is quite difficult and they think I’ m just neurotic for taking him constantly.

Our pediatrician said that I should take him off the fox air now and in a month’ s time take him off the singulair as well. I don’ t want to not listen to him, but those medicines are important for his condition? He also said that should he still be coughing next year we should do follow-up allergy tests. I don’ t want my son to have unnecessary anaesthesia, but maybe I should push for another biopsy to be done, so that everyone can accept the diagnosis?

Also, with regards to this enlarged spleen: I’ m not sure whether that is the reason, but he has not been eating at all the last couple of weeks, just a little bite here and there. Should I give him more vitamins (I just give him one chewable vitamin tablet and an omega capsule) or other supplements?

At the moment, he is an absolute bundle of energy and one would never think he is sick, for which I’ m truly greatful!

Kind Regards.

Expert's Reply

A.

Paediatrician

You are correct,your son should stay on the Foxair and on Singulair at least until we know about the correct diagnosis.These medicines should help him a lot.You are also correct your son's biopsy should be repeated next year so that the diagnosis of ciliary dysmotilty can be proven or disproven one way or the other.Your son's enlarged spleen is as a result of his recent glandualar fever. This splenic enlargement should soon disappear.The good news is that your son is so well now.

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