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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sickness, Ear Infection, Chronic Sinusitis, Asthma, Diarrhea In A Child?

My 2 year old boy has frequent ear infection, chronic sinusitis, asthma, frequents diarrhea, and loss of appetite. . Since he was 6 months he is always sick. Periferal smear show slight poikilocytosis and burr cell. RBC- 4,25, Hgb- 12.3, HCT- 34.5. He also has history of vitamin D deficiency (26.10). What can cause that he is always sick? What other testing he will need?
Tue, 18 Mar 2014
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Allergist and Immunologist 's  Response
Hello,
You need to ensure his immune system is normal.
Tests such as IgG, IgA, IgM and lymphocyte subsets CD3 CD4 CD8 CD19 CD16+CD56+ cell counts will give a clue.
Responses to vaccines are also important, so please consult an Immunologist only to discuss the results.

Best Wishes.
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What Causes Sickness, Ear Infection, Chronic Sinusitis, Asthma, Diarrhea In A Child?

Hello, You need to ensure his immune system is normal. Tests such as IgG, IgA, IgM and lymphocyte subsets CD3 CD4 CD8 CD19 CD16+CD56+ cell counts will give a clue. Responses to vaccines are also important, so please consult an Immunologist only to discuss the results. Best Wishes.