October 9, 2009
* Asplenic or severe dysfunction of the spleen (including homozygous sickle-cell disease and coeliac disease.”
The Primary Care Society for Gastroenterology has produced guidelines on the follow-up care of adult coeliac disease (2) in which they state:
“Some degree of splenic atrophy is present in most patients with coeliac disease, and is sufficiently severe to cause peripheral blood changes in about a quarter. Patients should be considered for:
* Vaccination against pneumococcus and haemophilus influenza type b
* Vaccination against influenza
* Guidance about the increased risks attached to tropical infections e.g. malaria
* Life long prophylactic antibiotics are not recommended.”
http://www.attract.wales.nhs.uk/answer.aspx?criteria=&tagtrail=%2Fvaccine%2F&qid=2320&src=0
- Tässä käsittääkseni suositetaan influenssarokotusta, pneumokokkirokotusta ja hemofilus inf b rokotusta keliakikolle,kehoitetaan huomioimaan suuremmat malariansaamisriskinsä ja käsittämään että mitään koko iän antibioottia ei suositella. 2012-09- 04
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