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J Clin Pathol 53:177-181 doi:10.1136/jcp.53.3.177

Benign monoclonal expansion of CD8+ lymphocytes in HIV infection

Table 1

Demographic data, dual immunophenotyping studies, presence of paraproteins, and TCR gene rearrangement results in control and CD8+ lymphocytosis groups

Controls (n=21) CD8+ lymphocytosis (n=18)
*p=0.0007, Mann-Whitney U test.
†p=0.4, Mann-Whitney U test.
‡p=0.23, χ2 (normal range IgG < 16 g/l).
¶p=0.009, χ2.
Age range (years) 20 to 55 30 to 58
Race
Europid 17 14
Black African 2 4
Asian 2 0
Mode of transmission
Male to male 18 14
Heterosexual 3 4
Sex
Male 20 14
Female 1 4
CDC category
A 5 4
B 12 11
C 4 3
Median time since diagnosis (years) 4.5 8.0*
No of patients taking antiretroviral treatment 17 (81.0%) 15 (83.3%)
Median HIV-1 RNA viral load (copies/ml) 3511 1172†
Paraproteins 0 2 (Patient No 1, IgG and IgM) (Patient No 2, IgG)
Median IgG level (g/litre) 15.8 17.25‡
Lymphocyte phenotype double positive (mean % of T cells)
CD8+/DR+ 35.7 63.2
CD8+/CD11a+ 63.7 80.6
CD8+/CD11c+ 10.0 14.8
CD8+/CD28+ 23.0 18.4
CD8+/CD57+ 26.5 28.2
EBV VCA IgG positive (No of patients) 14 (66.7%) 13 (72.2%)
TCR gene rearrangement¶
Polyclonal 17 13
Oligoclonal 4 0
Monoclonal 0 5

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