Re: Unusual case

From: Sean P. McDonough (spm13@cornell.edu)
Date: Wed Jan 27 1999 - 12:08:37 EST


For those who are interested, a very detailed analysis of NK associated
immunophenotypes can be found in Leukemia and Lymphoma Vol 2:111-126, 1990
by Stephen J Richards and Colin Stephen Scott.
Regards
Sean P. McDonough DVM PhD


At 05:05 PM 1/26/99 +0000, you wrote:
>
>Hi Mary,
>
>Yes, we have seen populations with this immunophenotype (CD4+, CD57+
>T-cells) occasionally in reactive conditions.  They reportedly can be
>expanded in patients with rheumatoid arthritis, some hematologic
>malignancies (including CLL and hairy cell leukemia), and following solid
>organ transplantation.  They have a cytotoxic activity.  We recently have
>seen one case of presumed LGL-leukemia with this immuunophenotype, as has
>been reported in the literature.
>
>Brent Wood MD PhD
>Associate Director of Hematology Laboratory     
>University of Washington Medical Center         
>EM: woodbl@u.washington.edu  Phone: (206) 548-6199  Fax: (206) 548-6189
>
>----------
>>From: Maryalice Stetler-Stevenson <stetler@box-s.nih.gov>
>>To: Cytometry Mailing List <cytometry@flowcyt.cyto.purdue.edu>
>>Subject: Unusual case
>>Date: Mon, Jan 25, 1999, 10:46 PM
>>
>
>>
>>Here's a weird one:
>>
>> 43 yo white male. 30.4%HCT, 625 K/UL plateets, WBC- 4.27 K/UL with
>>44.3% polys, 12% lymphocytes, 26.5% monocytes, 14.8% eosinophils and 2.4%
>>basophils. 96% of lymphocytes are T-cells. 92% of Lymphocytes are CD4+,CD3+
>>and 4 % CD8+,CD3+. This is the cute part- 45% are CD4+, CD57+, CD3+
>>T-cells. They are mostly CD7+ (15% CD7-,CD3+), all CD2+ and CD5+ (a
>>slightly dim population noted). They are TCR alpha beta +, CD16-, CD38+,
>>and HLADR- as well as negative for B-cell antigens. How often have you seen
>>CD4+CD57+ T-cells?
>>
>> Maryalice
>>Maryalice Stetler-Stevenson
>>Director Flow Cytometry Unit
>>Laboratory of Pathology, NCI, NIH
>>
> 



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