Dynamic Distribution and Clinical Value of Peripheral Lymphocyte Subsets in Children with Infectious Mononucleosis
| Autor: | Xinyuan Chen, Lianfeng Wu, Weifeng Yao, Xin Wei, Hong Lu, Jingjing Qian, Jingjing Guan, Xiangyang Lin, Xiaoyuan Liu, Zhuo Zhang, Liling Chen, Yujie Jiang, Yaosheng Xie |
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| Rok vydání: | 2020 |
| Předmět: |
Mononucleosis
Flow cytometry Serology 03 medical and health sciences 0302 clinical medicine T-Lymphocyte Subsets 030225 pediatrics medicine Humans Distribution (pharmacology) Infectious Mononucleosis Lymphocyte Count Child medicine.diagnostic_test Receiver operating characteristic business.industry Flow Cytometry medicine.disease Lymphocyte Subsets Peripheral Killer Cells Natural Pediatrics Perinatology and Child Health Immunology Liver function business 030217 neurology & neurosurgery CD8 |
| Zdroj: | The Indian Journal of Pediatrics. 88:113-119 |
| ISSN: | 0973-7693 0019-5456 |
| Popis: | To study the dynamic change of peripheral lymphocyte subsets and its clinical value in children with infectious mononucleosis (IM). Thirty-six pediatric patients with IM, 19 children with IM-like symptoms but lacking the serological pattern compatible with EB virus infection, and 33 healthy children were enrolled. The changes of peripheral lymphocyte subsets were detected by flow cytometry on admission and on the fifth day of antiviral treatment, respectively. Indicators of liver function and routine blood count were also detected. Besides, the receiver operating characteristic (ROC) curve and the correlation of related indicators was analyzed. When IM patients were admitted, the frequency and absolute number of T, CD4−CD8+T, and CD4+CD8+T (DPT) cells were significantly increased while B cells were decreased; the frequency of CD4+CD8−T cells were decreased, but its absolute number did not change significantly; the frequency of NK cells decreased, but its absolute number increased. The absolute number of CD4−CD8+T most significantly positively correlated with serum lactate dehydrogenase (LDH) concentration which could reflect the severity of IM patients. After short-term treatment with acyclovir, elevated lymphocytes decreased, but only DPT-cell frequency and NK-cell absolute number were recovering towards normal. The ROC curve suggested that the frequency of B cells has better diagnostic value for IM in pediatric patients compared to other lymphocyte subsets. Peripheral lymphocyte subsets are closely related to the condition of children with IM, and each subset plays a relatively different role in the diagnosis and evaluation of IM. |
| Databáze: | OpenAIRE |
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