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A 15-year-old Thai boy with multiple episodes of chronic diarrhea caused by giardiasis with hypogammaglobulin M and IgG4 subclass deficiency (but normal antibody response to rabies vaccine) is reported. Immune status follow-up is necessary for a definite diagnosis and proper management.

Citation

Krisana Pengsaa, Chukiat Sirivichayakul, Niyada Vithayasai, Sansnee Senawong, Voravich Luangwedchakarn. Chronic diarrhea and abnormal serum immunoglobulin levels: a case report. The Southeast Asian journal of tropical medicine and public health. 2007 May;38(3):424-6

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PMID: 17877214

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