hi...
seems i do not fit the T Cell LGL picture to perfection. Though it is thought this is a probable dx... please help me if this sounds familiar.
I have "small T cell clones against a polyclonal background". My T cells have continued to rise for over a year and my immune system is decreasing over time. HOWEVER, it is wave-like. Sometimes my WBC is 14 with 89% T cell lymphocytes. Other times 10.4 with 96% T cell lymphocytes. Last labs showed a decrease in percentage of NK cells for the first time... Prior to this lab, the NK cells absolute and percentage have been WNL for over a year. The onc/hem told me that this would be expected because the T cells are "taking up the room." (?)
Also... I am symptomatic (vague symptoms) and have been tested for everything. "autoimmune markers are normal" but I have tested false positive with high titers in IgM for CMV and EBV (but not in DNA) My immune system does not react to pneumovax test -- IgG subtypes are like ...0.03... I think only one of (12?) tested was close to 1 post injection. I have chronic low grade fever and great fatigue. I think I did get some wierd viruses a few years ago, plus the second bout of pneumonia about 6 months ago -- BUT neutophils are fine... and WBC are not wild high or wild low (Between 6 and 14) and RBC has been within lower end of normal limits.
Because you say you have had this for 16 years? Did I read you right? I am curious. You must have been one of the first people with the dx as research tells me it was realized in 1993? (Is that right?) And T cell rearragment studies are new -- providing difinative dx for patients. What are your T cell counts? Have you had any illnesses? Virus or bacteria infections? What has been your experience over time? I see that the expect. rate is >10 and dealth is usually about lack of immune system over time...
Thank-you ahead, for your time, or any professional as well, in case I have my information wrong...