TY - JOUR KW - CD4-CD8 Ratio KW - CD4-Positive T-Lymphocytes KW - Humans KW - Immunity, Cellular KW - Immunophenotyping KW - leprosy KW - Leukocyte Count KW - Receptors, Interleukin-2 KW - T-Lymphocyte Subsets KW - T-Lymphocytes, Cytotoxic KW - Tuberculosis, Cutaneous AU - Sehgal V N AU - Gupta R P AU - Karmakar S AU - Logani K B AU - Jain S AB -

The granulomas of lupus vulgaris (LV) were characterized by preponderance of CD4+ lymphocytes and a raised CD4+/CD8+ ratio. In contrast, in scrofuloderma (SF) the CD8+ T-lymphocyte subpopulation predominated and the CD4+/CD8+ ratio was significantly decreased. A higher percentage of lymphocytes expressed interleukin-2 receptor (IL-2R) in LV as compared with SF, indicating an activated cellular immune response in the former. Immunophenotypic changes in tuberculosis verrucosa cutis (TBVC) were intermediate between LV and SF. CD4+ lymphocytes were the main infiltrating T-cell type in borderline tuberculoid leprosy (BT), while CD8+ lymphocytes predominated in the granuloma of lepromatous lepromatous (LL). The CD4+/CD8+ ratio and percentage of lymphocytes expressing IL-2R was significantly higher in BT as compared with LL. These immunophenotypic findings suggest that in both cutaneous tuberculosis and leprosy there is a continuous spectrum with regard to cell-mediated immunity depending on the clinical presentation.

BT - Clinical and experimental dermatology C1 - http://www.ncbi.nlm.nih.gov/pubmed/7955472?dopt=Abstract DA - 1994 Jul DO - 10.1111/j.1365-2230.1994.tb01202.x IS - 4 J2 - Clin. Exp. Dermatol. LA - eng N2 -

The granulomas of lupus vulgaris (LV) were characterized by preponderance of CD4+ lymphocytes and a raised CD4+/CD8+ ratio. In contrast, in scrofuloderma (SF) the CD8+ T-lymphocyte subpopulation predominated and the CD4+/CD8+ ratio was significantly decreased. A higher percentage of lymphocytes expressed interleukin-2 receptor (IL-2R) in LV as compared with SF, indicating an activated cellular immune response in the former. Immunophenotypic changes in tuberculosis verrucosa cutis (TBVC) were intermediate between LV and SF. CD4+ lymphocytes were the main infiltrating T-cell type in borderline tuberculoid leprosy (BT), while CD8+ lymphocytes predominated in the granuloma of lepromatous lepromatous (LL). The CD4+/CD8+ ratio and percentage of lymphocytes expressing IL-2R was significantly higher in BT as compared with LL. These immunophenotypic findings suggest that in both cutaneous tuberculosis and leprosy there is a continuous spectrum with regard to cell-mediated immunity depending on the clinical presentation.

PY - 1994 SP - 312 EP - 6 T2 - Clinical and experimental dermatology TI - In situ characterization of lymphocytic immunophenotypes and interleukin-2 receptors in cutaneous tuberculosis and leprosy--a comparative evaluation. VL - 19 SN - 0307-6938 ER -