[Acquired immunodeficiency syndrome with chronic granulomatous inflammation. Clinically definable special form of the variable immunodeficiency syndrome]

Important note: Information in this article was accurate in 1986. The state of the art may have changed since the publication date.

[Acquired immunodeficiency syndrome with chronic granulomatous inflammation. Clinically definable special form of the variable immunodeficiency syndrome]

Dtsch Med Wochenschr. 1986 Jan 17;111(3):93-8. Unique Identifier : AIDSLINE MED/86081292
Stoll M; Peter HH; Lange ML; Wolff-Vorbeck G; Kemnitz J; Deicher H

Abstract: Five cases (3 men, 2 women) of late-onset variable immunodeficiency syndrome (CVID), characterized by similar clinical and immunological findings as well as histological demonstration of chronic granulomatous infection, are reported. All patients had frequent attacks of respiratory infections with recurrent bronchitis and pneumonia. In addition to predominating basally localized streaky-nodular lung changes all patients had hepatosplenomegaly and granulomatous infections of other organs. Immunologically, marked hypogammaglobulinaemia of all Ig classes, lymphopenia, and absence of terminal B-cell maturation were predominant. In-vitro tests under pokeweed-mitogen failed to demonstrate terminal plasma-cell differentiation of B-lymphocytes and thus Ig synthesis. Without pokeweed-mitogen there were largely nonsecretory B-blasts with abnormal granulated cytoplasmic Ig formation. Skin testing with Multitest application revealed almost complete anergy, both in the Arthus (24 h) and the late reactions (48 and 72 h). Nonetheless, T-cell reaction in-vitro was much less affected than B-cell function. Natural killing and antibody-dependent cytotoxicity were normal or slightly increased.

Keywords: Acquired Immunodeficiency Syndrome/*IMMUNOLOGY/PATHOLOGY Adolescence Adult Antibody-Dependent Cell Cytotoxicity B-Lymphocytes/IMMUNOLOGY Bone Marrow/PATHOLOGY English Abstract Female Granulomatous Disease, Chronic/*IMMUNOLOGY/PATHOLOGY Human Intradermal Tests Killer Cells, Natural/IMMUNOLOGY Lung/PATHOLOGY Lymphocyte Transformation Male Rosette Formation Support, Non-U.S. Gov't JOURNAL ARTICLE

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