Flow cytometric analyses of the lymphocyte subsets in peripheral blood of children with untreated active juvenile dermatomyositis.

Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.

Flow cytometric analyses of the lymphocyte subsets in peripheral blood of children with untreated active juvenile dermatomyositis.

Clin Diagn Lab Immunol. 1995 Mar;2(2):205-8. Unique Identifier : AIDSLINE MED/95211636
O'Gorman MR; Corrochano V; Roleck J; Donovan M; Pachman LM; Department of Pediatrics, Northwestern University Medical School,; Chicago, Illinois 60614.

Abstract: Juvenile dermatomyositis (JDMS) is a vasculopathy affecting primarily skin and muscle. Although the etiology is unknown, immunopathogenetic mechanisms appear to play a role in both the susceptibility to the disease and its progression. We measured the percentage and absolute numbers of B cells and T-cell subsets in the peripheral blood of untreated JDMS patients with active early disease and compared the results with those obtained from a study of peripheral blood obtained from a heatlhy age-related control group. The absolute number of total lymphocytes in the peripheral blood of the JDMS patients was significantly lower (P < 0.002) than that observed in the healthy control population, with an associated decrease in the absolute number of all T-cell subsets. No concomitant decrease in the absolute number of B lymphocytes was observed in the JDMS patients. In contrast, the percentage of B lymphocytes and the T-helper/T-suppressor cell ratio were significantly higher in the JDMS group than in the control group (P < 0.001 and P < 0.002, respectively). Retrospective analysis of JDMS patients' serum samples obtained within 1 month of the flow cytometric evaluation indicated that 79% of the sera contained an antinuclear antibody and 46% had immunoglobulin G values above age-adjusted reference ranges. The increased percentage of B cells, the increased T-helper/T-suppressor cell ratio, the positive antinuclear antibody results, and the increased concentration of serum immunoglobulin suggest that humoral immune dysregulation may contribute to the pathogenesis of JDMS.

Keywords: Acute Disease Adolescence Child Child, Preschool Comparative Study CD4-CD8 Ratio Dermatomyositis/*BLOOD/*IMMUNOLOGY Female Flow Cytometry Human IgA/BLOOD IgG/BLOOD IgM/BLOOD *Lymphocyte Subsets Male Reference Values Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
950730
M9570897

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