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Autoimmune lymphoproliferative syndrome.


 
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1. Title Title of document Autoimmune lymphoproliferative syndrome.
 
2. Creator Author's name, affiliation, country Vera Rodrigues; Serviço de Pediatria, Hospital Fernando Fonseca, Amadora-Sintra, Portugal.; Portugal
 
2. Creator Author's name, affiliation, country Marta Conde; Portugal
 
2. Creator Author's name, affiliation, country António Figueiredo; Portugal
 
2. Creator Author's name, affiliation, country Júlia Vasconcelos; Portugal
 
2. Creator Author's name, affiliation, country Alexandra Dias; Portugal
 
3. Subject Discipline(s)
 
3. Subject Keyword(s)
 
4. Description Abstract The Autoimmune Lymphoproliferative Syndrome (ALPS) is an impairment of lymphocyte apoptosis expressed by generalized non-malignant lymphoproliferation, lymphadenopathy and/or splenomegaly. This article describes a seven and 14 year old males. The first one was admitted at 3 years of age with fever, bicytopenia and generalized lymphadenopathy. Hystopathological analysis of lymph nodes showed reactive follicular hyperplasia and marked paracortical expansion. He was readmitted three years later presenting herpes zoster and similar clinical features. High levels of IL-10 and increasing tendency of Fas-L in plasma and serum. The second child was admitted at 13 years of age presenting thigh and gluteus cellulitis, anemia and neutropenia. T lymphocytes aß+CD4-CD8- 3,1%. Hystopathological analysis of lymph nodes showed marked paracortical hyperplasia. Both children are treated with mycophenolate mofetil with good response. ALPS is an underestimated entity that must be considered in non malign lymphoproliferation, autoimmunity and expansion of an unusual population of a/ßCD3+CD4-CD8-(double-negative T cells>1%).
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2011-12-29
 
8. Type Status & genre article
 
8. Type Type
 
9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com:443/revista/index.php/amp/article/view/501
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.501
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 24, No 5 (2011): Setembro-Outubro
 
12. Language English=en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c)