XXXX with increasing y   T-lymphocyte subpopulation: A case report.

@entity1 @entity404 @entity704 @entity2905 @entity5 @entity281 @entity465 @entity244 @entity405
INTRODUCTION: @entity244 is a rare cause of adult-onset @entity465 associated with @entity704 . @entity244 should be considered in @entity1 older than 40 years with the history of frequent @entity281 . An abnormal immunoglobulin profile needs further investigation and flow cytometry which is crucial for establishing the diagno- sis of @entity244 . CASE REPORT: We present a 56- year-old @entity1 with @entity244 diagnosed after a two-year history of recurrent @entity281 . Examination of immune status of the @entity1 showed decreased serum levels of all immunoglobulins. Flow cytometry of peripheral blood lym-phocyte revealed markedly reduced peripheral B cells, @entity404 T-cell @entity2905 , inverted @entity404 / @entity405 T-cell-ratio 0.37 ( @entity404 --20.82%, @entity405 --70.7%). Analysis of the subpopulations of T-lymphocytes showed relative increasing y   T cell receptor (TCR) T lymphocytes. Computed tomography scan of the chest showed a mediastinal mass compatible with @entity704 of the diameter of 40 mm. After initiation of intravenous immunoglobulins the @entity1 was in the good clinical condition and without bacterial complications. As the @entity1 refused the operative treatment we continued to control the @entity5 mass which did not increase during a 3-year follow-up. CONCLUSION: The presented @entity1 had a typical immunological finding for @entity244 , but also the increase in y   TCR T-lymphocyte subpopulation for which it is difficult to determine whether this is pathogenetic or secondary reactive event.
