Many Symtpoms No Diagnosis
Confused what is going on. Mild hypogammaglobinemia showed in blood work in Feb. Low Igg. Waited a month & dropped a little more. Dr did pneumo vax. Results so-so, (and igg dropped a little more) she did 3 prevnar shots, one every 2 months. Concurrently, CT scan of lungs showed multiple granulomas, some non-calcified. Lung dr said have repeat in 6 months. Immunologist also did B cell phoenotyping profile. She said I was making normal antibodies. To do job movement from burbs to city, I changed primary drs. He referred me to another immunologist. Just before my apt, it was time for repeat CT scan. Lung dr said no change. When I saw the report myself, I was surprised that I now had diagnosis of mild bronchiectasis in right lung. Same granulomas. Another non-calcified granuloma in right lung, which radiologist suggested was probably there but not visible for some technical reason. Also noted several granulomas in spleen. Went to new immunologist, he did pneumovax again. I have allergies & asthma. He wants all my records, wants to see ct scans, including one mentioning spleen. My ”former” immunologist did copy me on records sent to new dr. The b cell test did show cd19+, cd20+ & cd21+ as % of lymphocytes as high, but overall normal. Finally, I recently recovered from a ferocious sinus infection, worst in a few years. It seems to have triggered an asthmatic response. Also developed a quarter size place on my chest that was not caused by anything. New dr says it looks bacterial, not fungus.)
A lot of info crammed in a paragraph. Mildly low Igg, normal b cells indicate not CVID. The symptoms seem to conflict with each other, but yet something must be happening. I don’t understand all the granulomas on the scans and how they got there. Now bronchiectasis, which my former immunologist made a big deal about when the low igg was first discovered. Does anyone have any thoughts?