Document Detail


Arthropathy, leucopenia and recurrent infection associated with a TcR gamma delta population.
MedLine Citation:
PMID:  7582708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report documents the presence of clonal gamma delta T-cell receptor (TcR) population in the blood of a patient who presented with an arthropathy of undetermined cause, leucopenia and splenomegaly. There was no evidence for lymphoid malignancy clinically or at post-mortem. The phenotype and genotype of the clonal T-cell population were not associated with the predominant TcR delta rearrangement found in peripheral blood gamma delta cells, but were similar to those found in gamma delta TcR cells infiltrating rheumatoid synovium. The data indicate the presence of a monoclonal population of gamma delta cells TcR cells which in the face of continued immunosuppression behaved benignly. The case may represent a cytomorphologically atypical example of the large granular lymphocytes, neutropenia and arthropathy syndrome/lymphoproliferative disease of granular lymphocytes and, although the patient's clinical features were not 'classical', rheumatoid arthritis (RA) may have been the underlying primary disorder.
Authors:
E Hodges; C Quin; A M Farrell; S Christmas; H F Sewell; M Doherty; R J Powell; J L Smith
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of rheumatology     Volume:  34     ISSN:  0263-7103     ISO Abbreviation:  Br. J. Rheumatol.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-12-18     Completed Date:  1995-12-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302415     Medline TA:  Br J Rheumatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  978-83     Citation Subset:  AIM; IM    
Affiliation:
Molecular Immunology Group, Southampton University Hospitals NHS Trust.
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MeSH Terms
Descriptor/Qualifier:
Arthralgia / complications,  immunology*
Aspergillosis / complications,  immunology*
Gene Rearrangement, T-Lymphocyte
Humans
Leukopenia / complications,  immunology*
Male
Middle Aged
Phenotype
Receptors, Antigen, T-Cell, gamma-delta* / genetics
Recurrence
Splenomegaly / complications,  immunology*
T-Lymphocyte Subsets / immunology*
Chemical
Reg. No./Substance:
0/Receptors, Antigen, T-Cell, gamma-delta

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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