Idiopathic CD4+ T-Lymphocytopenia
September 1992
in “
The Lancet
”
TLDR ICL is a condition with low CD4+ T cells like AIDS but not caused by HIV, and normal CD4+ T cell counts may vary between men and women.
The document from 1992 discusses idiopathic CD4+ T-lymphocytopenia (ICL), a condition characterized by low CD4+ T cell counts similar to AIDS but without HIV infection. The authors suggest that a persistent decrease in CD4+ T cells, confirmed by at least two counts taken more than 6 months apart, is crucial for diagnosing ICL. They also consider common variable immunodeficiency (CVI) as a differential diagnosis for HIV-negative patients with opportunistic infections and hypogammaglobulinaemia. In a study of 965 intravenous drug users, they found an average CD4 cell count of 1169/μl among 180 HIV-seronegative individuals, with no significant correlation with gender, age, race, or HTLV-II infection. Additionally, they observed that the CD4/CD8 ratio was higher in women than in men, indicating that normal immunological values might differ between genders.