Document 0577 DOCN M94A0577 TI An unusual case of AIDS. DT 9412 AU Padiglione A; Fairfield Hospital, Vic. SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:98 (poster no. 47). Unique Identifier : AIDSLINE ASHM5/94349078 AB In early 1993 an elderly Vietnamese lady presented to Fairfield Hospital with skin lesions, fever and was found to have disseminated MAC and cryptococcal meningitis. Subsequent tests revealed a profound suppression of lymphocytes, with a CD4 count of 270 and CD8 count of 80. Despite treatment and clinical improvement her lymphopaenia worsened with counts of 150 (CD4) and 50 (CD8) respectively. All tests for HIV 1 and 2, HTLV 1 and 2 and malignancy have been negative. She now remains well and has shown a progressive rise in lymphocyte counts. Nevertheless, we believe that this lady meets the criteria for idiopathic T helper lymphocytopenia as defined by the Centers for Disease Control and we believe is the first such case description in Australia. The diagnostic criteria and natural history are briefly discussed. DE Acquired Immunodeficiency Syndrome/*DIAGNOSIS/IMMUNOLOGY Aged AIDS-Related Opportunistic Infections/*DIAGNOSIS/IMMUNOLOGY Case Report CD4-CD8 Ratio Female Human HIV Seronegativity/*IMMUNOLOGY Leukocyte Count T4 Lymphocytes/IMMUNOLOGY Victoria Vietnam/ETHNOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).