Evidence map›Paper›PMID 25682606›Full record

ArticleHaematologica2015

CD3-CD4+ lymphoid variant of hypereosinophilic syndrome: nodal and extranodal histopathological and immunophenotypic features of a peripheral indolent clonal T-cell lymphoproliferative disorder.

Guillaume Lefèvre, Marie-Christine Copin, Christophe Roumier, Hélène Aubert, Martine Avenel-Audran, Nathalie Grardel, Stéphanie Poulain, Delphine Staumont-Sallé, Julien Seneschal, Gilles Salles and 22 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01713504 (Identification of New Markers in the Hypereosinophilic Syndrome), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01713504 nacompletednot on this map

Identification of New Markers in the Hypereosinophilic Syndrome

TypeinterventionalSponsorUniversity Hospital, LilleRan2010 to 2015Enrolled41ConditionsHypereosinophilic SyndromeArmsbiologie sample
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Expansion of multiple CD4The Journal of allergy and clinical immunology · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Eosinophils: A Friend or Foe in Human Health and Diseases.Kidney diseases (Basel, Switzerland) · 2023
    Review
  12. Approach to the patient with suspected hypereosinophilic syndrome.Hematology. American Society of Hematology. Education Program · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Eosinophilia Associated With CD3Frontiers in immunology · 2020
    Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 10 institutions in 2 countries.

Guillaume LefèvreInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille Department of Internal Medicine - Clinical Immunology Unit and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille guillaume.lefevre@chru-lille.fr.
Marie-Christine CopinInstitute of Pathology and CNRS Unit Research UMR 8161, Lille University Hospital, Université Lille Nord de France, Lille.
Christophe RoumierInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Hélène AubertDepartment of Dermatology, Nantes University Hospital, Nantes.
Martine Avenel-AudranDepartment of Dermatology, Angers University Hospital and UNAM University, Angers.
Nathalie GrardelInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Stéphanie PoulainInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Delphine Staumont-SalléDepartment of Dermatology, Lille University Hospital, Université Lille Nord de France, Lille.
Julien SeneschalDepartment of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin Diseases and Inserm Unit Research U1035, Bordeaux University Hospital, Bordeaux.
Gilles SallesDepartment of Hematology, Lyon Sud University Hospital, Hospices Civils de Lyon, Lyon 1 University, Bron.
Kamel GhomariDepartment of Onco-Hematology, Beauvais Hospital.
Louis TerriouDepartment of Internal Medicine - Clinical Immunology Unit and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Christian LeclechDepartment of Dermatology, Angers University Hospital and UNAM University, Angers.
Chafika Morati-HafsaouiDepartment of Internal Medicine, Annecy Hospital, Annecy.
Franck MorschhauserDepartment of Internal Medicine, Bicêtre University Hospital - APHP, Paris Sud XI University, Le Kremlin-Bicêtre.
Olivier LambotteDepartment of Hematology, Lille University Hospital, Université Lille Nord de France, Lille.
Félix AckermanDepartment of Hematology, Lille University Hospital, Université Lille Nord de France, Lille.
Jacques TrauetInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Sandrine GeffroyInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Florent DumezyInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Monique CapronInserm Unit Research U995, Lille University Hospital, Université Lille Nord de France, Lille.
Catherine Roche-LestienneInstitut de Génétique Médicale, Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Alain TaiebDepartment of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin Diseases and Inserm Unit Research U1035, Bordeaux University Hospital, Bordeaux.
Pierre-Yves HatronDepartment of Internal Medicine - Clinical Immunology Unit and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Sylvain DubucquoiInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Eric HachullaInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille Department of Internal Medicine - Clinical Immunology Unit and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Lionel PrinInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Myriam LabaletteInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
David LaunayInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille Department of Internal Medicine - Clinical Immunology Unit and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille.
Claude PreudhommeInstitute of Hematology and Inserm Unit U837, Lille University Hospital, Université Lille Nord de France, Lille.
Jean-Emmanuel KahnInstitute of Immunology, French Eosinophil Network and Research Unit EA2686, Lille University Hospital, Université Lille Nord de France, Lille Department of Internal Medicine, Foch Hospital and Versailles-Saint-Quentin-en-Yvelines University, Suresnes, France.
French Eosinophil Network
Université Lille Nord de France · FRInserm · FRUniversité d'Angers · FRBicêtre Hospital · FRBordeaux Population Health · FRCentre Hospitalier de Beauvais · FRCentre National de la Recherche Scientifique · FRHospices Civils de Lyon · FRNantes Université · FRSt. Anne Mercy Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The CD3(-)CD4(+) lymphoid variant of hypereosinophilic syndrome is characterized by hypereosinophilia and clonal circulating CD3(-)CD4(+) T cells. Peripheral T-cell lymphoma has been described during this disease course, and we observed in our cohort of 23 patients 2 cases of angio-immunoblastic T-cell lymphoma. We focus here on histopathological (n=12 patients) and immunophenotypic (n=15) characteristics of CD3(-)CD4(+) lymphoid variant of hypereosinophilic syndrome. Atypical CD4(+) T cells lymphoid infiltrates were found in 10 of 12 CD3(-)CD4(+) L-HES patients, in lymph nodes (n=4 of 4 patients), in skin (n=9 of 9) and other extra-nodal tissues (gut, lacrymal gland, synovium). Lymph nodes displayed infiltrates limited to the interfollicular areas or even an effacement of nodal architecture, associated with proliferation of arborizing high endothelial venules and increased follicular dendritic cell meshwork. Analysis of 2 fresh skin samples confirmed the presence of CD3(-)CD4(+) T cells. Clonal T cells were detected in at least one tissue in 8 patients, including lymph nodes (n=4 of 4): the same clonal T cells were detected in blood and in at least one biopsy, with a maximum delay of 23 years between samples. In the majority of cases, circulating CD3(-)CD4(+) T cells were CD2(hi) (n=9 of 14), CD5(hi) (n=12 of 14), and CD7(-)(n=4 of 14) or CD7(low) (n=10 of 14). Angio-immunoblastic T-cell lymphoma can also present with CD3(-)CD4(+) T cells; despite other common histopathological and immunophenotypic features, CD10 expression and follicular helper T-cell markers were not detected in lymphoid variant of hypereosinophilic syndrome patients, except in both patients who developed angio-immunoblastic T-cell lymphoma, and only at T-cell lymphoma diagnosis. Taken together, persistence of tissular clonal T cells and histopathological features define CD3(-)CD4(+) lymphoid variant of hypereosinophilic syndrome as a peripheral indolent clonal T-cell lymphoproliferative disorder, which should not be confused with angio-immunoblastic T-cell lymphoma.

Indexed as

Clonal EvolutionImmunophenotypingAdolescentAdultAgedBone MarrowCD3 ComplexCD4 AntigensDiagnosis, DifferentialFemaleGene Rearrangement, gamma-Chain T-Cell Antigen ReceptorHumansHypereosinophilic SyndromeImmunohistochemistryLymph NodesLymphoma, T-Cell, PeripheralCD3 ComplexCD4 Antigens

Identifiers

PMID25682606
PMCPMC5004425
OpenAlexW2049916353

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Registered trials

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