Paeds Cases · allergy-and-immunology

Counsel a family on a new X-linked agammaglobulinaemia diagnosis — OSCE

OSCE communication and shared-planning station: explaining a new antibody-deficiency diagnosis to a family, the need to confirm the defect with a functional vaccine response and genetic testing before starting immunoglobulin, what lifelong immunoglobulin replacement involves, the family implications of carrier testing, and the generally good prognosis with consistent therapy — while addressing fear and avoiding the over-diagnosis trap.