<div class="FTQUOTE"><begin quote>on the "allergic shiners", I'm assuming you're referring to the dark circles underneath and the puffiness under the eyes that's worse in the am. While they are very often signs of allergies, it also is a common symptom for kids with chronic sinusitis, regardless of whether they have allergies. DS has had those since infancy (around 6 months when his sinus problems started).</end quote></div>
Max has had them since birth you can see them in his very first pictures. I had always chaulked it up to the structure of his face. He doesn't have dark circles just the puffy spots that are hard to the touch. On one side you can feel a tube like thing when you run your fingers over it. His vary in size from day to day not so much morning to night.
they did the adult panel of 64 and all but a couple of his allergies were in the adult panel, not the kid panel. Our allergist also doesn't skin test young children unless it's warranted (out of control asthma, chronic sinusitis, etc.)
He did the adult panel, I believe, it incuding pets, pollens, molds, weeds, food, all in the skin test form.
<div class="FTQUOTE"><begin quote>Does he have reflux? Has he ever been tested for it? It can cause chronic sinusitis, worsen asthma, and cause asthma-type symptoms in a non-asthmatic.</end quote></div>
It is strange that you should mention this. No he has never been tested, but when they first put him on nebs @7 mo. the Dr. mentioned asthma but did not want to put that yet and treated him for bronchitis for 2 yrs. he had this treatment off and on.
<div class="FTQUOTE"><begin quote>If so, it should have included multiple blood draws done over a few months time, and an immunization to check for titres. If they didn't do at least 3 seperate blood draws over a few months plus an immunization, you can't rule out immune problems. </end quote></div>
They only did on several tubes & did the immunization one to check for titres, tetnus, dephiria, etc. I will have to ask my dr. why they feel that only 1 test was sufficient as I am curious. Although, this seems to be the nature of this specialist. The specialist he refered us to seems to be a little more careful and out right said.. "The hospital here, and me personally are probably not where you need to be Maxwell is a special case that I think needs to go to the Children's hospital for the best care and outcome." I respect a dr. that shows that type of perfessionalism and will admit when he is over his head.
<div class="FTQUOTE"><begin quote>Also, it is common procedure to repeat sweat tests if the child's results fall in the borderline range or are positive. Also, do a search on primary ciliary dyskinesia, it has a lot of similiar characteristics to cf lung/sinus wise.</end quote></div>
I will look into this primary ciliary dyskinesia. We want the test repeated, but we want it to be done at a CF acreddited center so we must wait for our ENT (dr that wants us at children's) to get our PCP to refer us.
Candace
