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Review
. 2024 Sep;44(3):479-493.
doi: 10.1016/j.cll.2024.04.009. Epub 2024 Jun 8.

Flow Cytometry-based Immune Phenotyping of T and B Lymphocytes in the Evaluation of Immunodeficiency and Immune Dysregulation

Affiliations
Review

Flow Cytometry-based Immune Phenotyping of T and B Lymphocytes in the Evaluation of Immunodeficiency and Immune Dysregulation

Alan A Nguyen et al. Clin Lab Med. 2024 Sep.

Abstract

There are approximately 500 congenital disorders that impair immune cell development and/or function. Patients with these disorders may present with a wide range of symptoms, including increased susceptibility to infection, autoimmunity, autoinflammation, lymphoproliferation, and/or atopy. Flow cytometry-based immune phenotyping of T and B lymphocytes plays an essential role in the evaluation of patients with these presentations. In this review, we describe the clinical utility of flow cytometry as part of a comprehensive evaluation of immune function and how this testing may be used as a diagnostic tool to identify underlying aberrant immune pathways, monitor disease activity, and assess infection risk.

Keywords: Flow cytometry; Immune dysregulation; Inborn errors of immunity; Primary immunodeficiency.

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Conflict of interest statement

Disclosure A. A. Nguyen is a staff physician at Boston Children’s Hospital and Instructor of Pediatrics at Harvard Medical School. C. D. Platt is a staff physician and Medical Director of Flow Cytometry at Boston Children’s Hospital, and Assistant Professor of Pediatrics at Harvard Medical School. The spouse of C. D. Platt is employed by Quest Diagnostics. A. A. Nguyen has nothing to disclose.

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