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Was it a case of Takayasu arteritis?
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Recently, the case of a 9 year old boy presenting with cardiac failure was presented in the Annals of the Rheumatic Diseases.1 It was reported as a case of Takayasu's arteritis in a child with a CD4+ lymphopenia and dysgammaglobulinaemia. I have a number of problems with this case:
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As presented in table 1 in the letter, this 9 year old child has a normal CD4 cell count with a low total lymphocyte count. Is the table wrong or did this child actually have a normal CD4 lymphocyte count?
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The dysgammaglobulinaemia actually consisted of a modest rise …