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Warning-sign checks

Selective deficiency of IgA: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services during or soon after a blood transfusion if you develop:

    • Difficulty breathing or wheezing
    • Swelling of the lips, tongue, face, or throat
    • Widespread hives with dizziness or faintness
    • Sudden collapse or severe weakness

    These can be signs of anaphylaxis, a severe allergic reaction.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical assessment for a high fever with worsening illness, shortness of breath, chest pain, dehydration, coughing up blood, or a severe infection that is not improving as expected.

    Transfusion staff should also be told immediately about chills, fever, back pain, chest discomfort, or any sudden change in how you feel.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you have repeated sinus, ear, or chest infections; diarrhoea that persists or returns; unexplained weight loss; or symptoms suggesting an allergy or autoimmune condition.

    Follow-up is also appropriate if infections are becoming more frequent or taking longer to clear.

Every sign above is quoted from the sofidex article on Selective deficiency of IgA. If you are not sure, err upward — it is always reasonable to be checked.