The primary immunodeficiency disorders reflect abnormalitiesin the development and maturation of cells of the immune system.These defects result in an increased susceptibility to infection;recurrent pyogenic infections occur with defects of humoralimmunity, and opportunistic infections with defects of cell-mediatedimmunity. These two broad categories of illness correspond roughlyto defects in the two principal types of immunocompetent cells,B lymphocytes and T lymphocytes. Defective development of Bcells results in abnormalities in humoral immunity, whereasdefects in the development of T cells cause problems with cellularimmunity.
From the Departments of Pediatrics, Harvard Medical School, Boston (F.S.R.), the University of Alabama School of Medicine, Birmingham (M.D.C.), and the University of Washington School of Medicine, Seattle (R.J.P.W.).
Address reprint requests to Dr. Rosen at the Center for Blood Research, 800 Huntington Ave., Boston, MA 02115.
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