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Primary Immune Deficiency (PID)
This is due to an immunological defect (usually genetic). With this, there's an increased risk of autoimmune disease, malignancies, and granulomatous diseases.
PID should be suspected if a patient gets infections that are:
Recurrent, severe, persistent
Resistant to treatment
Caused by unusual organisms
Investigations to do include:
Total lymphocyte and neutrophil count
Serum Ig’s (IgG, IgA, IgM)
Complemt levels - C3 and C4
N.B. It's important to investigate and treat early to avoid irreversible complications of a delayed diagnosis.
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