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The reasons for the increase and decrease in B-lymphocytes (CD20)

 
, medical expert
Last reviewed: 19.10.2021
 
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In the second half of the normally developing inflammatory process, in most cases the relative amount of B-lymphocytes in the blood rises (especially in viral infections). As a rule, this indicator increases in parallel with the increase in regional lymph nodes. The relative content of B-lymphocytes usually increases with prolonged inflammatory processes. For the clinician, the most important is the analysis of the level of B lymphocytes after the end of the clinical manifestations of the inflammatory process. In all cases, the normalization of the relative amount of B-lymphocytes indicates a complete end of the process.

Diseases and conditions in which the amount of CD20 lymphocytes in the blood changes

Increase in the Decrease in the indicator

Acute bacterial, fungal and parasitic infections

HIV infection (initial period)

Chronic liver disease, cirrhosis, viral hepatitis

Autoimmune diseases

Rheumatoid arthritis

Systemic lupus erythematosus

Rheumatism, collagenoses

Sarcoidosis, cystic fibrosis

Waldenström's disease

Infectious mononucleosis

Chronic lymphatic leukemia

Monoclonal Gammopathy

Acute period of re-infection, immune response to thymus-independent antigens

Physiological hypogammaglobulinemia in children (aged 3-5 months)

Congenital hypogammaglobulinemia or agammaglobulinemia

Neoplasms of the immune system

Treatment with cytostatics and immunosuppressants

Condition after removal of spleen

Insufficiency of humoral immunity

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