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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-2-5
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pubmed:abstractText |
Cellular immunological abnormalities were studied in a patient with protein-losing enteropathy associated with constrictive pericarditis. Analysis of lymphocyte subpopulations in peripheral blood showed lymphopenia with a decrease of CD3+ and CD4+ T cells, whereas CD8+ lymphocytes, B cells and NK cells were within the normal range. Fecal loss of lymphocytes as a cause of lymphopenia was evidenced by a marked excretion of 111-indium-labeled peripheral blood mononuclear cells via stool. Proliferative responses against several mitogens were severely reduced as was in vitro IgG production. Delayed-type hypersensitivity reaction against a variety of antigens was absent. Vaccination with tick-borne encephalitis virus, used for primary immunization, and with the recall antigen tetanus toxoid resulted in a blunted antibody response. After pericardectomy, the severity of enteric protein loss declined, serum immunoglobulin levels returned to the normal range, and total lymphocytes and CD3+ and CD4+ counts increased but remained low even 12 months after surgery. Fecal loss of lymphocytes was found to be reduced after pericardectomy, but was higher than that seen in a disease control patient with active inflammatory bowel disease. In vitro immunoglobulin production returned to normal, DTH could be demonstrated against purified protein derivative and proteus antigen, but mitogen-driven blastogenic response of lymphocytes remained low. Revaccination with tick-borne encephalitis and tetanus toxoid antigens seven months after surgery resulted in a dramatic increase of serum levels of antibodies against both antigens, comparable to that seen in healthy control individuals.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0163-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
116-22
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1670632-Adult,
pubmed-meshheading:1670632-Antibody Formation,
pubmed-meshheading:1670632-CD4-Positive T-Lymphocytes,
pubmed-meshheading:1670632-Feces,
pubmed-meshheading:1670632-Follow-Up Studies,
pubmed-meshheading:1670632-Humans,
pubmed-meshheading:1670632-Immunity, Cellular,
pubmed-meshheading:1670632-Immunoglobulin A,
pubmed-meshheading:1670632-Immunoglobulin G,
pubmed-meshheading:1670632-Male,
pubmed-meshheading:1670632-Neutrophils,
pubmed-meshheading:1670632-Pericarditis, Constrictive,
pubmed-meshheading:1670632-Protein-Losing Enteropathies,
pubmed-meshheading:1670632-T-Lymphocyte Subsets
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pubmed:year |
1991
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pubmed:articleTitle |
Cellular immunodeficiency in protein-losing enteropathy. Predominant reduction of CD3+ and CD4+ lymphocytes.
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pubmed:affiliation |
Department of Gastroenterology and Hepatology, University of Vienna, Austria.
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pubmed:publicationType |
Journal Article,
Case Reports
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