A case of cutaneous T cell lymphoma associated with mild autoimmune disorders were also ruled out. A diagnosis of eosinophilia and rise of IgE levels is reported. A population of CTCL was made and treatment with IFN-␣ was started (9 MU CD3 ؊ CD4 ؉ cells was observed in the peripheral blood. After × 3/week), but was stopped 2 months later due to lack of comactivation, these purified CD3 ؊ CD4 ؉ cells showed a Th2 pattern pliance without clinical benefit. Psoralene plus UV-A (P-UVA) of cytokine production, secreting higher levels of IL-5 and ILtherapy induced complete regression of the mycosis fungoides
years.Keywords: Th2 cytokines, cutaneous T cell lymphoma;In September 1995, in spite of a normal blood lymphocytecount (1620/ l), two-colour immunophenotypical studies revealed a small CD3 − CD4 + T cell population (Table 1). Rare lymphocytes with convoluted nuclei were observed in the Introduction peripheral blood smears. Eosinophil count was 842/ l and total IgE level 2888 KU/l. A new cutaneous biopsy demonOver the last few years, it has become clear that human T cells strated a dense dermal infiltration by CD4 + CD7 − cells in part can be divided into distinct subsets according to the pattern of lacking TCR expression, whereas a bone marrow biopsy cytokine production: Th1 cells secrete mainly IL-2 and intershowed only moderate eosinophilia. feron-␥, whereas Th2-cells produce IL-4 and IL-5. 1 The enriched CD3 − CD4 + population, obtained by depletion Recently, it has been suggested that cutaneous T cell lymof CD3 + cells from PBMC using magnetic beads, as described phoma (CTCL) represents clonal proliferation of Th2-cells. 2 elsewhere, 4 showed defective response to mitogens activating Moreover, two cases of clonal expansion of CD3 − CD4 + T the cells through crosslinking of membrane receptors (PHA cells, without clinical evidence of lymphoma, secreting Th2-and CD3), but proliferative response, and expression of actitype cytokines have been recently described. 3,4 We report vation markers such as CD69 and CD25, was partially here a new case of CTCL associated with a population of circulating CD3 − CD4 + cells with a Th2-pattern of cytokine production.