|
|
||||||||
The Journal of Immunology, Vol 150, Issue 3 1122-1136, Copyright © 1993 by American Association of Immunologists
ARTICLES |
LJ Picker, JR Treer, B Ferguson-Darnell, PA Collins, PR Bergstresser and LW Terstappen
Department of Pathology, University of Texas Southwestern Medical Center, Dallas 75235-9072.
Recent work indicates that a novel homing receptor (HR)/endothelial ligand pair--the cutaneous lymphocyte-associated Ag (CLA) and E- selectin--is involved in targeting a unique skin-associated subpopulation of memory T cells to cutaneous sites of chronic inflammation. To investigate the regulatory mechanisms responsible for the generation of a memory T cell subset with skin-selective homing capability, we used multiparameter flow cytometry to assess the expression of CLA on T cells during initial T cell activation in secondary lymphoid tissues (the virgin to memory transition), and upon reactivation in skin. Our analyses indicate that in vivo induction of CLA (and E-selectin-binding ability) first occurs during the virgin to memory transition, and is regulated in a highly tissue-selective manner. The frequency of CLA expression on CD45RA+/RO+ transitional T cells within skin-associated peripheral lymph nodes was > fivefold higher than within the mucosal microenvironment of the appendix. In keeping with its role as a skin-selective homing receptor, levels of cell-surface CLA on T cells obtained from cutaneous blisters overlying delayed-type hypersensitivity sites were a mean 23-fold higher than on corresponding peripheral blood T cells, including all time points of lesional evolution. However, comparisons of CLA expression on resting vs activated skin blister T cells (HLA-DR - vs +, respectively) indicated that CLA expression, which is already quite high on the resting subset, appeared to be further up-regulated upon activation in skin. The critical involvement of local microenvironments in the regulation of CLA expression was also supported by in vitro studies demonstrating the necessity of specific secondary signals for the induction of CLA glycoproteins on mitogen-activated T cells. CLA up- regulation on both the virgin and memory T cell subsets was dependent on the presence of TGF-beta 1 (or, to a lesser extent, IL-6), but not a wide variety of other cytokines. Thus, the development of the CLA+ memory T cell subset is likely a product of the cumulative experience of those T cells with respect to local microenvironments at previous sites of activation, perhaps involving differential availability of bioactive TGF-beta 1 and/or IL-6 (both cytokines produced in skin). Repeated activation in skin or skin-associated peripheral lymph nodes may act to reinforce CLA expression on T cells functionally-associated with skin, and thus enhance the functional efficiency of these cells by preferentially focusing their recirculation to the skin or related sites.
This article has been cited by other articles:
![]() |
H. Grindebacke, H. Stenstad, M. Quiding-Jarbrink, J. Waldenstrom, I. Adlerberth, A. E. Wold, and A. Rudin Dynamic Development of Homing Receptor Expression and Memory Cell Differentiation of Infant CD4+CD25high Regulatory T Cells J. Immunol., October 1, 2009; 183(7): 4360 - 4370. [Abstract] [Full Text] [PDF] |
||||
![]() |
U. Mack, G. B. Migliori, M. Sester, H. L. Rieder, S. Ehlers, D. Goletti, A. Bossink, K. Magdorf, C. Holscher, B. Kampmann, et al. LTBI: latent tuberculosis infection or lasting immune responses to M. tuberculosis? A TBNET consensus statement Eur. Respir. J., May 1, 2009; 33(5): 956 - 973. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. E. Anderson, P. A. Taylor, J. M. McNiff, D. Jain, A. J. Demetris, A. Panoskaltsis-Mortari, A. Ager, B. R. Blazar, W. D. Shlomchik, and M. J. Shlomchik Effects of donor T-cell trafficking and priming site on graft-versus-host disease induction by naive and memory phenotype CD4 T cells Blood, May 15, 2008; 111(10): 5242 - 5251. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Beilhack, S. Schulz, J. Baker, G. F. Beilhack, R. Nishimura, E. M. Baker, G. Landan, E. I. Herman, E. C. Butcher, C. H. Contag, et al. Prevention of acute graft-versus-host disease by blocking T-cell entry to secondary lymphoid organs Blood, March 1, 2008; 111(5): 2919 - 2928. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Simpson, G. D. Florida-James, C. Cosgrove, G. P. Whyte, S. Macrae, H. Pircher, and K. Guy High-intensity exercise elicits the mobilization of senescent T lymphocytes into the peripheral blood compartment in human subjects J Appl Physiol, July 1, 2007; 103(1): 396 - 401. [Abstract] [Full Text] [PDF] |
||||
![]() |
S.L. Seneviratne, A.P. Black, L. Jones, A.S. Bailey, and G.S. Ogg The role of skin-homing T cells in extrinsic atopic dermatitis QJM, January 1, 2007; 100(1): 19 - 27. [Abstract] [Full Text] [PDF] |
||||
![]() |
Z. Ni, J. J. Campbell, G. Niehans, and B. Walcheck The Monoclonal Antibody CHO-131 Identifies a Subset of Cutaneous Lymphocyte-Associated Antigen T Cells Enriched in P-Selectin-Binding Cells J. Immunol., October 1, 2006; 177(7): 4742 - 4748. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. M. Koelle, J. Huang, M. T. Hensel, and C. L. McClurkan Innate Immune Responses to Herpes Simplex Virus Type 2 Influence Skin Homing Molecule Expression by Memory CD4+ Lymphocytes J. Virol., March 15, 2006; 80(6): 2863 - 2872. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Garrood, L. Lee, and C. Pitzalis Molecular mechanisms of cell recruitment to inflammatory sites: general and tissue-specific pathways Rheumatology, March 1, 2006; 45(3): 250 - 260. [Full Text] [PDF] |
||||
![]() |
D. Alvarez, F. K. Swirski, T.-C. Yang, R. Fattouh, K. Croitoru, J. L. Bramson, M. R. Stampfli, and M. Jordana Inhalation Tolerance Is Induced Selectively in Thoracic Lymph Nodes but Executed Pervasively at Distant Mucosal and Nonmucosal Tissues J. Immunol., February 15, 2006; 176(4): 2568 - 2580. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. A. Carlow, M. J. Williams, and H. J. Ziltener Inducing P-Selectin Ligand Formation in CD8 T Cells: IL-2 and IL-12 Are Active In Vitro but Not Required In Vivo J. Immunol., April 1, 2005; 174(7): 3959 - 3966. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Alvarez, G. Harder, R. Fattouh, J. Sun, S. Goncharova, M. R. Stampfli, A. J. Coyle, J. L. Bramson, and M. Jordana Cutaneous Antigen Priming via Gene Gun Leads to Skin-Selective Th2 Immune-Inflammatory Responses J. Immunol., February 1, 2005; 174(3): 1664 - 1674. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Jones, S. Ibrahim, K. Patel, R. Luthra, M. Duvic, and L. J. Medeiros Degree of CD25 Expression in T-Cell Lymphoma Is Dependent on Tissue Site: Implications for Targeted Therapy Clin. Cancer Res., August 15, 2004; 10(16): 5587 - 5594. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Schaerli, L. Ebert, K. Willimann, A. Blaser, R. S. Roos, P. Loetscher, and B. Moser A Skin-selective Homing Mechanism for Human Immune Surveillance T Cells J. Exp. Med., May 3, 2004; 199(9): 1265 - 1275. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. C. Salazar, C. D. Pope, T. J. Sellati, H. M. Feder Jr, T. G. Kiely, K. R. Dardick, R. L. Buckman, M. W. Moore, M. J. Caimano, J. G. Pope, et al. Coevolution of Markers of Innate and Adaptive Immunity in Skin and Peripheral Blood of Patients with Erythema Migrans J. Immunol., September 1, 2003; 171(5): 2660 - 2670. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. M. Barry, D. G. Zisoulis, J. W. Neal, N. A. Clipstone, and G. S. Kansas Induction of FucT-VII by the Ras/MAP kinase cascade in Jurkat T cells Blood, September 1, 2003; 102(5): 1771 - 1778. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. J. Dimitroff, R. J. Bernacki, and R. Sackstein Glycosylation-dependent inhibition of cutaneous lymphocyte-associated antigen expression: implications in modulating lymphocyte migration to skin Blood, January 15, 2003; 101(2): 602 - 610. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Jutila, S. Kurk, L. Jackiw, R. N. Knibbs, and L. M. Stoolman L-Selectin Serves as an E-Selectin Ligand on Cultured Human T Lymphoblasts J. Immunol., August 15, 2002; 169(4): 1768 - 1773. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Hudak, M. Hagen, Y. Liu, D. Catron, E. Oldham, L. M. McEvoy, and E. P. Bowman Immune Surveillance and Effector Functions of CCR10+ Skin Homing T Cells J. Immunol., August 1, 2002; 169(3): 1189 - 1196. [Abstract] [Full Text] [PDF] |
||||
![]() |
P C L Beverley Immunology of vaccination Br. Med. Bull., July 1, 2002; 62(1): 15 - 28. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. M. Spinola, M. E. Bauer, and R. S. Munson Jr. Immunopathogenesis of Haemophilus ducreyi Infection (Chancroid) Infect. Immun., April 1, 2002; 70(4): 1667 - 1676. [Full Text] [PDF] |
||||
![]() |
I. Erdmann, E. P. Scheidegger, F. K. Koch, L. Heinzerling, B. Odermatt, G. Burg, J. B. Lowe, and T. M. Kundig Fucosyltransferase VII-Deficient Mice with Defective E-, P-, and L-Selectin Ligands Show Impaired CD4+ and CD8+ T Cell Migration into the Skin, but Normal Extravasation into Visceral Organs J. Immunol., March 1, 2002; 168(5): 2139 - 2146. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. J. Campbell and E. C. Butcher Rapid Acquisition of Tissue-specific Homing Phenotypes by CD4+ T Cells Activated in Cutaneous or Mucosal Lymphoid Tissues J. Exp. Med., January 7, 2002; 195(1): 135 - 141. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. J. Pitcher, S. I. Hagen, J. M. Walker, R. Lum, B. L. Mitchell, V. C. Maino, M. K. Axthelm, and L. J. Picker Development and Homeostasis of T Cell Memory in Rhesus Macaque J. Immunol., January 1, 2002; 168(1): 29 - 43. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. J. Kunkel, J. Boisvert, K. Murphy, M. A. Vierra, M. C. Genovese, A. J. Wardlaw, H. B. Greenberg, M. R. Hodge, L. Wu, E. C. Butcher, et al. Expression of the Chemokine Receptors CCR4, CCR5, and CXCR3 by Human Tissue-Infiltrating Lymphocytes Am. J. Pathol., January 1, 2002; 160(1): 347 - 355. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Gelfanova, T. L. Humphreys, and S. M. Spinola Characterization of Haemophilus ducreyi-Specific T-Cell Lines from Lesions of Experimentally Infected Human Subjects Infect. Immun., July 1, 2001; 69(7): 4224 - 4231. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. J. Sellati, S. L. Waldrop, J. C. Salazar, P. R. Bergstresser, L. J. Picker, and J. D. Radolf The Cutaneous Response in Humans to Treponema pallidum Lipoprotein Analogues Involves Cellular Elements of Both Innate and Adaptive Immunity J. Immunol., March 15, 2001; 166(6): 4131 - 4140. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. R. Fortney, R. S. Young, M. E. Bauer, B. P. Katz, A. F. Hood, R. S. Munson Jr., and S. M. Spinola Expression of Peptidoglycan-Associated Lipoprotein Is Required for Virulence in the Human Model of Haemophilus ducreyi Infection Infect. Immun., November 1, 2000; 68(11): 6441 - 6448. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Pipitone, V. A. Jolliffe, A. Cauli, D. G. I. Scott, and C. Pitzalis Do B cells influence disease progression in chronic synovitis? Lessons from primary hypogammaglobulinaemia Rheumatology, November 1, 2000; 39(11): 1280 - 1285. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. J. Weiner The immunobiology and clinical potential of immunostimulatory CpG oligodeoxynucleotides J. Leukoc. Biol., October 1, 2000; 68(4): 455 - 463. [Abstract] [Full Text] |
||||
![]() |
E. J. Kunkel, J. J. Campbell, G. Haraldsen, J. Pan, J. Boisvert, A. I. Roberts, E. C. Ebert, M. A. Vierra, S. B. Goodman, M. C. Genovese, et al. Lymphocyte Cc Chemokine Receptor 9 and Epithelial Thymus-Expressed Chemokine (Teck) Expression Distinguish the Small Intestinal Immune Compartment: Epithelial Expression of Tissue-Specific Chemokines as an Organizing Principle in Regional Immunity J. Exp. Med., September 5, 2000; 192(5): 761 - 768. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Komatsu, R. D. Berg, J. M. Russell, Y. Nimura, and D. N. Granger Enteric microflora contribute to constitutive ICAM-1 expression on vascular endothelial cells Am J Physiol Gastrointest Liver Physiol, July 1, 2000; 279(1): G186 - G191. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Mortarini, A. Borri, G. Tragni, I. Bersani, C. Vegetti, E. Bajetta, S. Pilotti, V. Cerundolo, and A. Anichini Peripheral Burst of Tumor-specific Cytotoxic T Lymphocytes and Infiltration of Metastatic Lesions by Memory CD8+ T Cells in Melanoma Patients Receiving Interleukin 12 Cancer Res., July 1, 2000; 60(13): 3559 - 3568. [Abstract] [Full Text] |
||||
![]() |
C. Robert and T. S. Kupper Inflammatory Skin Diseases, T Cells, and Immune Surveillance N. Engl. J. Med., December 9, 1999; 341(24): 1817 - 1828. [Full Text] [PDF] |
||||
![]() |
L. Tu, P. G. Murphy, X. Li, and T. F. Tedder L-Selectin Ligands Expressed by Human Leukocytes Are HECA-452 Antibody-Defined Carbohydrate Epitopes Preferentially Displayed by P-Selectin Glycoprotein Ligand-1 J. Immunol., November 1, 1999; 163(9): 5070 - 5078. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Chu, K. Hong, E. L. Berg, and R. O. Ehrhardt Tissue Specificity of E- and P-Selectin Ligands in Th1-Mediated Chronic Inflammation J. Immunol., November 1, 1999; 163(9): 5086 - 5093. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. R. Langley, J. Russell, M. J. Eppihimer, S. J. Alexander, M. Gerritsen, R. D. Specian, and D. N. Granger Quantification of murine endothelial cell adhesion molecules in solid tumors Am J Physiol Heart Circ Physiol, September 1, 1999; 277(3): H1156 - H1166. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Akdis, H.-U. Simon, L. Weigl, O. Kreyden, K. Blaser, and C. A. Akdis Skin Homing (Cutaneous Lymphocyte-Associated Antigen-Positive) CD8+ T Cells Respond to Superantigen and Contribute to Eosinophilia and IgE Production in Atopic Dermatitis J. Immunol., July 1, 1999; 163(1): 466 - 475. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Mitsuoka, K. Ohmori, N. Kimura, A. Kanamori, S. Komba, H. Ishida, M. Kiso, and R. Kannagi Regulation of selectin binding activity by cyclization of sialic acid moiety of carbohydrate ligands on human leukocytes PNAS, February 16, 1999; 96(4): 1597 - 1602. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Robert, R. C. Fuhlbrigge, J. D. Kieffer, S. Ayehunie, R. O. Hynes, G. Cheng, S. Grabbe, U. H. von Andrian, and T. S. Kupper Interaction of Dendritic Cells with Skin Endothelium: A New Perspective on Immunosurveillance J. Exp. Med., February 15, 1999; 189(4): 627 - 636. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Tu, M. D. Delahunty, H. Ding, F. W. Luscinskas, and T. F. Tedder The Cutaneous Lymphocyte Antigen Is an Essential Component of the L-selectin Ligand Induced on Human Vascular Endothelial Cells J. Exp. Med., January 18, 1999; 189(2): 241 - 252. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. J. Wagers, C. M. Waters, L. M. Stoolman, and G. S. Kansas Interleukin 12 and Interleukin 4 Control T Cell Adhesion to Endothelial Selectins through Opposite Effects on {alpha}1,3-fucosyltransferase VII Gene Expression J. Exp. Med., December 21, 1998; 188(12): 2225 - 2231. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. N. Knibbs, R. A. Craig, P. Maly, P. L. Smith, F. M. Wolber, N. E. Faulkner, J. B. Lowe, and L. M. Stoolman {alpha}(1,3)-Fucosyltransferase VII-Dependent Synthesis of P- and E-Selectin Ligands on Cultured T Lymphoblasts J. Immunol., December 1, 1998; 161(11): 6305 - 6315. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. H. Orteu, L. W. Poulter, M. H. A. Rustin, C. A. Sabin, M. Salmon, and A. N. Akbar The Role of Apoptosis in the Resolution of T Cell-Mediated Cutaneous Inflammation J. Immunol., August 15, 1998; 161(4): 1619 - 1629. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Tietz, Y. Allemand, E. Borges, D. von Laer, R. Hallmann, D. Vestweber, and A. Hamann CD4+ T Cells Migrate into Inflamed Skin Only If They Express Ligands for E- and P-Selectin J. Immunol., July 15, 1998; 161(2): 963 - 970. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. J. Wagers, L. M. Stoolman, R. Craig, R. N. Knibbs, and G. S. Kansas An sLex-Deficient Variant of HL60 Cells Exhibits High Levels of Adhesion to Vascular Selectins: Further Evidence That HECA-452 and CSLEX1 Monoclonal Antibody Epitopes Are Not Essential for High Avidity Binding to Vascular Selectins J. Immunol., May 15, 1998; 160(10): 5122 - 5129. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. F. Yoong, G. McNab, S. G. Hubscher, and D. H. Adams Vascular Adhesion Protein-1 and ICAM-1 Support the Adhesion of Tumor-Infiltrating Lymphocytes to Tumor Endothelium in Human Hepatocellular Carcinoma J. Immunol., April 15, 1998; 160(8): 3978 - 3988. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Jutila, E. Wilson, and S. Kurk Characterization of an Adhesion Molecule that Mediates Leukocyte Rolling on 24 h Cytokine- or Lipopolysaccharide-stimulated Bovine Endothelial Cells under Flow Conditions J. Exp. Med., November 17, 1997; 186(10): 1701 - 1711. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. J. Bijl, J. W. van Oostveen, J. M.M. Walboomers, A. Horstman, A. J.C. van den Brule, R. Willemze, and C. J.L.M. Meijer HOXC4, HOXC5, and HOXC6 Expression in Non-Hodgkin's Lymphoma: Preferential Expression of the HOXC5 Gene in Primary Cutaneous Anaplastic T-Cell and Oro-Gastrointestinal Tract Mucosa-Associated B-Cell Lymphomas Blood, November 15, 1997; 90(10): 4116 - 4125. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Borges, G. Pendl, R. Eytner, M. Steegmaier, O. Zollner, and D. Vestweber The Binding of T Cell-expressed P-selectin Glycoprotein Ligand-1 to E- and P-selectin Is Differentially Regulated J. Biol. Chem., November 7, 1997; 272(45): 28786 - 28792. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Gallart, D. Roelcke, M. Blay, A. Pereira, A. Martinez, O. Masso, O. Vinas, M. Cid, J. Esparza, R. Molina, et al. Anti-Sia-lb (Anti-Gd) Cold Agglutinins Bind the Domain NeuNAcalpha 2-3Gal in Sialyl Lewisx, Sialyl Lewisa, and Related Carbohydrates on Nucleated Cells and in Soluble Cancer-Associated Mucins Blood, August 15, 1997; 90(4): 1576 - 1587. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. A. Borkowski, J. J. Letterio, A. G. Farr, and M. C. Udey A Role for Endogenous Transforming Growth Factor {beta}1 in Langerhans Cell Biology: The Skin of Transforming Growth Factor {beta}1 Null Mice Is Devoid of Epidermal Langerhans Cells J. Exp. Med., December 1, 1996; 184(6): 2417 - 2422. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. A. Piletta, S. Wirth, L. Hommel, J. H. Saurat, and C. Hauser Circulating Skin-Homing T Cells in Atopic Dermatitis: Selective Up-regulation of HLA-DR, Interleukin-2R, and CD30 and Decrease After Combined UV-A and UV-B Phototherapy Arch Dermatol, October 1, 1996; 132(10): 1171 - 1176. [Abstract] [PDF] |
||||
![]() |
S. W. Hunt III, E. S. Harris, S.-A. Kellermann, and Y. Shimizu T-Lymphocyte Interactions With Endothelium and Extracellular Matrix Critical Reviews in Oral Biology & Medicine, January 1, 1996; 7(1): 59 - 86. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Vachino, X.-J. Chang, G. M. Veldman, R. Kumar, D. Sako, L. A. Fouser, M. C. Berndt, and D. A. Cumming P-selectin Glycoprotein Ligand-1 Is the Major Counter-receptor for P-selectin on Stimulated T Cells and Is Widely Distributed in Non-functional Form on Many Lymphocytic Cells J. Biol. Chem., September 15, 1995; 270(37): 21966 - 21974. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Masteller, R. Larsen, L. Carlson, J. Pickel, B Nickoloff, J Lowe, C. Thompson, and K. Lee Chicken B cells undergo discrete developmental changes in surface carbohydrate structure that appear to play a role in directing lymphocyte migration during embryogenesis Development, January 6, 1995; 121(6): 1657 - 1667. [Abstract] [PDF] |
||||
![]() |
T. W. Griffiths, S. R. Stevens, and K. D. Cooper Acute Erythroderma as an Exclusion Criterion for Idiopathic CD4+ T Lymphocytopenia Arch Dermatol, December 1, 1994; 130(12): 1530 - 1533. [Abstract] [PDF] |
||||
![]() |
C. E. M. Griffiths Cutaneous Leukocyte Trafficking and Psoriasis Arch Dermatol, April 1, 1994; 130(4): 494 - 499. [Abstract] [PDF] |
||||
![]() |
A. L. Goodrich, R. E. Tigelaar, K. L. Watsky, and P. W. Heald Idiopathic CD4+ Lymphocyte Deficiency: Report of an Unusual Case Associated With Atopic Dermatitis and Allergic Contact Dermatitis and Review of the Literature Arch Dermatol, July 1, 1993; 129(7): 876 - 878. [Abstract] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |