Lymph node immunohistology in intravenous drug abusers with persistent generalized lymphadenopathy.

Abstract:

:Lymph node biopsy specimens from 16 intravenous drug abusers with persistent generalized lymphadenopathy were evaluated by immunohistochemical methods using a panel of antisera to detect different cell populations. The 11 cases that we tested on cryostat sections showed an increased number of Leu-2a-positive cells (cytotoxic-suppressor phenotype) in the follicular centers and a significantly reduced helper-to-suppressor T-cell mean ratio when compared with control tissues. In these 11 patients the peripheral helper-suppressor ratio was at the lower normal limit or inverted. Ten cases tested for anti-human T-cell lymphotropic virus type III antibodies were positive. In all 16 cases, immunohistology of paraffin-embedded sections demonstrated a polyclonal B population; 12 of 15 patients tested had polyclonal hypergammaglobulinemia, mostly IgG. The mixed-cell population of the lymph node sinuses was composed mostly of Leu-M1-positive and lysozyme-positive cells and, to a lesser extent, by alpha 1-antichymotrypsin-positive and S100 protein-positive cells. It seems that many of the immunologic dysfunctions found in these patients appear to be reflected in a fairly repetitive immunohistologic pattern.

journal_name

Arch Pathol Lab Med

authors

Carbone A,Manconi R,Poletti A,Tirelli U,De Paoli P,Santini G,Diodato S,Manconi PE,Grigoletto E,Santi L

subject

Has Abstract,Author List Incomplete

pub_date

1985-11-01 00:00:00

pages

1007-12

issue

11

eissn

0003-9985

issn

1543-2165

journal_volume

109

pub_type

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