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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1985-8-22
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pubmed:abstractText |
A 7 month old female infant was affected by a rapidly fatal familial disease highly reminiscent of Omenn's syndrome. She presented with widespread eczematous lesions, hepatosplenomegaly, superficial lymphadenopathy, peripheral blood lymphocytosis, eosinophilia and hyper-IgE. An axillary lymph node was involved by a marked proliferation of T-3 +/T-10-- lymphocytes admixed with S-100+/T-6+/Leu-3a+/Ia + reticular cells which lacked typical LC granules; cell suspension study revealed that 90%-96% of the lymph node cells were T-11+/T-3+ lymphocytes characterized by low expression of Leu-3a and T-8 antigens and by high expression of Ia antigens (52%). Peripheral blood T lymphocytes exhibited a similar distribution of surface phenotypes. The patient died of interstitial pneumonia and an autopsy was performed. The thymus was markedly atrophic and completely devoid of lymphocytes. The peri-arteriolar lymphoid sheets of the spleen were poorly developed and were mainly composed of T-8+ lymphocytes. The mediastinal nodes were rudimentary and were populated by T-3+/T-10+ lymphocytes with low expression of Leu-3a and T-8 antigens. Our results raise the possibility that Omenn's syndrome is a peculiar primary immunodeficiency in which, despite early thymic involution, some abnormal T lymphocytes still develop in the peripheral lymphoid organs. Antigenic triggering of these cells might result in prominent proliferations of T lymphocytes and Langerhans-like cells which lead to the clinical manifestation of the disease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0174-7398
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
407
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
69-82
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3925627-Antigens, Differentiation, T-Lymphocyte,
pubmed-meshheading:3925627-Antigens, Surface,
pubmed-meshheading:3925627-Autopsy,
pubmed-meshheading:3925627-Biopsy,
pubmed-meshheading:3925627-Cell Division,
pubmed-meshheading:3925627-Female,
pubmed-meshheading:3925627-Humans,
pubmed-meshheading:3925627-Immunologic Deficiency Syndromes,
pubmed-meshheading:3925627-Infant,
pubmed-meshheading:3925627-Langerhans Cells,
pubmed-meshheading:3925627-Lymph Nodes,
pubmed-meshheading:3925627-Microscopy, Electron,
pubmed-meshheading:3925627-S100 Proteins,
pubmed-meshheading:3925627-Spleen,
pubmed-meshheading:3925627-Syndrome,
pubmed-meshheading:3925627-T-Lymphocytes,
pubmed-meshheading:3925627-Thymus Gland
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pubmed:year |
1985
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pubmed:articleTitle |
The Omenn's syndrome: histological, immunohistochemical and ultrastructural evidence for a partial T cell deficiency evolving in an abnormal proliferation of T lymphocytes and S-100 +/T-6 + Langerhans-like cells.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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