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Previous Volume 352:2140-2141 May 19, 2005 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: AIDS is a well-known predisposing condition for generalized histoplasmosis, which had been ruled out in the patient described in the Clinical Problem-Solving article by Goulet et al. (Feb. 3 issue).¹ Idiopathic CD4+ lymphocytopenia² is another immunodeficiency state that should be ruled out in such a case. I would like to know what the absolute lymphocyte count and CD4+ count were in this patient. In idiopathic CD4+ lymphocytopenia, several other opportunistic infections, such as cryptococcal meningitis, toxoplasmosis, Pneumocystis carinii pneumonia,³ and disseminated warts, have been described. In general, patients with idiopathic CD4+ lymphocytopenia have stable CD4+ cell counts. . . . [Full Text of this Article]

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