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Published on: January 7, 2019
Idiopathic CD4+ T-cell lymphocytopenia
Aparna Mukherjee1, Rakesh Lodha, S K Kabra
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Insights
Idiopathic CD4+ T lymphocytopenia (ICL) is a rare immune disorder causing low CD4+ T cells and opportunistic infections. This report details two ICL cases with opportunistic infections, highlighting the condition
Area of Science:
- Immunology
- Infectious Diseases
Background:
- Idiopathic CD4+ T lymphocytopenia (ICL) is a rare immune deficiency characterized by a significant reduction in CD4+ T cells.
- This condition predisposes individuals to severe opportunistic infections due to impaired cellular immunity.
Observation:
- Two cases of ICL are presented, both exhibiting a low CD4+ T cell count or percentage.
- Patients presented with a range of opportunistic infections, including candidiasis, cytomegalovirus, and Mycobacterium tuberculosis.
Findings:
- The presented cases underscore the diagnostic challenge and clinical severity associated with ICL.
- The opportunistic infections observed are consistent with profound cellular immune deficiency.
Implications:
- Early recognition and diagnosis of ICL are crucial for timely management and prevention of life-threatening infections.
- Further research into the pathogenesis and treatment of ICL is warranted to improve patient outcomes.
Abstract:
Idiopathic CD4+ T lymphocytopenia (ICL) is an unusual immune defect in which there is an unexplained deficit of CD4+ T cells, leading to serious opportunistic infections. In view of the rarity of this clinical entity, we report two cases of ICL who presented with low CD4+ count or percentage and various opportunistic infections like candida, cytomegalovirus, Mycobacterium tuberculosis.
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