Reduced T-helper to T-suppressor cell ratio in asymptomatic hemophiliacs has been reported in recent papers relating to the similar findings in patients with acquired immunodeficiency syndrome (AIDS). It is not clear yet the causative agent(s) of these abnormalities of T-cell subpopulation in non-AIDS hemophiliacs exposed to pooled clotting factor concentrates. This paper describes the analysis of laboratory data in non-AIDS hemophiliacs (n=92) treated by the single brand concentrate through at least three years in our laboratory. Objective data include lymphocyte subpopulation with monoclonal antibodies, immune comlex, complements, coagulation factors, liver function test, viral antibodies, amounts infused per year, age, etc. Each group of hemophilia A received factor VIII concentrates, hemophilia A with inhibitor treated by PCC or APCC and hemophilia B showed significantly low T-cell ratio than normal control. From these statistical studies it was considered that reduced T-cell ratio was derived from the depressed absolute T-helper cell level and the elevated absolute T-suppressor cell count. T-cell ratio showed the statistically significant correlation of platelet count, serum IgG level and age and not of the amount of factor VIII concentrates infused per year.
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