PMID- 1090148 OWN - NLM STAT- MEDLINE DCOM- 19750510 LR - 20190626 IS - 0002-9343 (Print) IS - 0002-9343 (Linking) VI - 58 IP - 1 DP - 1975 Jan TI - Selective hypogammaglobulinemia with persistence of IgE, malabsorption and a nutritionally dependent, reversible defect in cell-mediated immunity. PG - 129-34 AB - A 46 year old man presented with selective hypogammaglobulinemia, malabsorption and long-standing secondary malnutrition. Although the patient had essentially unmeasurable levels of immunoglobulins G (IgG), M (IgA), he had normal levels of immunoglobulin E (IgE). He was found to be anergic when tested for the delayed cutaneous hypersensitivity reaction. Evaluation of his cell-mediated immunity in vivo and in vitro suggested one discrete lesion, a defective production of the lymphocyte mediator macrophage migration inhibitory factor. With improved nutrition the patient "repaired" this defect in the "efferent" limb of cellular immunity and was no longer anergic. FAU - Levin, D M AU - Levin DM FAU - Lipsky, P E AU - Lipsky PE FAU - Kirkpatrick, C H AU - Kirkpatrick CH LA - eng PT - Journal Article PL - United States TA - Am J Med JT - The American journal of medicine JID - 0267200 RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin M) RN - 0 (Macrophage Migration-Inhibitory Factors) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Agammaglobulinemia/*immunology MH - Diet MH - Humans MH - *Immunity, Cellular MH - Immunoglobulin A/analysis MH - Immunoglobulin E/*analysis MH - Immunoglobulin G/analysis MH - Immunoglobulin M/analysis MH - Immunologic Deficiency Syndromes/*immunology MH - Intestinal Mucosa/immunology MH - Macrophage Migration-Inhibitory Factors/deficiency MH - Macrophages/immunology MH - Malabsorption Syndromes/etiology/*immunology MH - Male MH - Middle Aged MH - Nutrition Disorders/etiology/immunology MH - Skin Tests EDAT- 1975/01/01 00:00 MHDA- 1975/01/01 00:01 CRDT- 1975/01/01 00:00 PHST- 1975/01/01 00:00 [pubmed] PHST- 1975/01/01 00:01 [medline] PHST- 1975/01/01 00:00 [entrez] AID - 0002-9343(75)90543-4 [pii] AID - 10.1016/0002-9343(75)90543-4 [doi] PST - ppublish SO - Am J Med. 1975 Jan;58(1):129-34. doi: 10.1016/0002-9343(75)90543-4.