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"Borderline" idiopathic CD4+ T-cell lymphocytopenia presenting with atypical progressive multifocal leukoencephalopathy.
Dato, Clemente; Elefante, Andrea; Coppola, Cinzia; Melone, Mariarosa Anna Beatrice; Lus, Giacomo; Costagliola, Antonella; Bruno, Giorgia; Puoti, Gianfranco.
Affiliation
  • Dato C; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy.
  • Elefante A; Department of Advanced Biomedical Sciences, University of Naples "Federico II", via Pansini 5, 80131 Naples, Italy. Electronic address: andrea.elefante@unina.it.
  • Coppola C; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy. Electronic address: cinzia.coppola@unicampania.it.
  • Melone MAB; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy. Electronic address: marina.melone@unicampania.it.
  • Lus G; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy. Electronic address: giacomo.lus@unicampania.it.
  • Costagliola A; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy.
  • Bruno G; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy.
  • Puoti G; Department of Advanced Medical and Surgical Sciences, Second Division of Neurology - University of Campania "Luigi Vanvitelli", via Pansini 5, 80131 Naples, Italy. Electronic address: gianfranco.puoti@unicampania.it.
J Neuroimmunol ; 349: 577420, 2020 12 15.
Article in En | MEDLINE | ID: mdl-33032014
ABSTRACT
Idiopathic CD4+ lymphocytopenia (ICL) is a rare disorder characterized by low counts of CD4+ cells (<300/mm3) in absence of other known causes of immunosuppression. A few cases of progressive multifocal leukoencephalopathy (PML) were reported in association with ICL with variable outcome. We describe the case of a 40 year-old man diagnosed with PML, which showed a monophasic course. Causes of primary and secondary immunodeficiency were ruled out, only a "borderline" ICL was found. This case highlights that a severe immunodepression could not be an absolute prerequisite in developing PML and also points the attention on current definition of ICL.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Leukoencephalopathy, Progressive Multifocal / T-Lymphocytopenia, Idiopathic CD4-Positive Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: En Journal: J Neuroimmunol Year: 2020 Type: Article Affiliation country: Italy

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Leukoencephalopathy, Progressive Multifocal / T-Lymphocytopenia, Idiopathic CD4-Positive Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: En Journal: J Neuroimmunol Year: 2020 Type: Article Affiliation country: Italy