CD8 lymphocytosis and pseudotumoral splenomegaly in HIV infection

Lancet. 1992 Jul 25;340(8813):207-8. doi: 10.1016/0140-6736(92)90471-e.

Abstract

Three patients infected with human immunodeficiency virus (HIV) presented with pseudotumoral splenomegaly, CD8 lymphocytosis (3.5-5.1 x 10(9)/l), and hypergammaglobulinaemia. Spleen and bone marrow showed diffuse CD8 lymphocyte and plasma-cell infiltration. Amplification of the T-cell-receptor gamma chain gene did not reveal any clonal T-cell population. Phenotypic analysis showed a predominance of CD8/CD57 suppressor T cells with expression of activation markers (DR and CD38). No cytotoxic T lymphocytes specific for HIV could be detected. The three patients shared the HLA haplotype A1, B8, DR3. The association with this haplotype suggests a genetically determined host immune response to HIV.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Acquired Immunodeficiency Syndrome / immunology
  • Adult
  • CD8 Antigens / immunology
  • CD8 Antigens / isolation & purification*
  • Female
  • Homosexuality
  • Humans
  • Immunity, Cellular
  • Lymphocytosis / complications*
  • Lymphocytosis / immunology
  • Male
  • Opportunistic Infections / complications*
  • Opportunistic Infections / immunology
  • Phenotype
  • Splenomegaly / complications*

Substances

  • CD8 Antigens