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Matters arising
Was it a case of Takayasu arteritis?
  1. M D Smith1
  1. 1Flinders University of South Australia
  1. Correspondence to:
    Dr M D Smith, Rheumatology Research Unit, Repatriation General Hospital, Daws Road, Daw Park, South Australia 5041, Australia;
    Malcolm.Smith{at}rgh.sa.gov.au

https://doi.org/10.1136/ard.61.7.669

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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:

    • 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?

    • The dysgammaglobulinaemia actually consisted of a modest rise …

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