Sinicco A, Maiello A, Raiteri R, Sciandra M, Dassio G, Zamprogna C, Mecozzi B
Institute of Infectious Diseases, University of Turin, Italy.
Thorax. 1996 Apr;51(4):446-7: discussion 448-9. doi: 10.1136/thx.51.4.446.
A case of pulmonary sarcoidosis and idiopathic CD4+ T lymphocytopenia is reported. Pneumocystis carinii was detected in the bronchoalveolar lavage fluid of a young homosexual man who was asymptomatic without any evidence of congenital or acquired immunodeficiency but with a low CD4+ cell count. A clinical and histological diagnosis of pulmonary sarcoidosis was made. During follow up the patient had oral candidiasis and a CD4+ cell count persistently below 300/microliters. This case is highly suggestive of concurrent pulmonary sarcoidosis and idiopathic CD4+ T lymphocytopenia.
报告了一例肺结节病合并特发性CD4 + T淋巴细胞减少症。在一名年轻同性恋男性的支气管肺泡灌洗液中检测到卡氏肺孢子虫，该患者无症状，无先天性或获得性免疫缺陷证据，但CD4 +细胞计数较低。作出了肺结节病的临床和组织学诊断。在随访期间，患者出现口腔念珠菌病，CD4 +细胞计数持续低于300/微升。该病例强烈提示并发肺结节病和特发性CD4 + T淋巴细胞减少症。
