Abnormal total CD8+ T cell number

What it means

Abnormal increase or decrease of the absolute number of cytotoxic CD3+CD8+ T cells (measured the absolute count per volume or as percentage of total CD3+ T cells in the blood), compared to a reference range for a given sex and age-group. These are usually measured within the TCR alpha/beta positive population.

Absolute counts (cells per microliter) and proportions (percentage of lymphocytes or of a parent subset) capture different information, so clinical practice uses whichever is validated for a given decision. Some thresholds are count-based (e.g. Pneumocystis prophylaxis in adults); others rest on a proportion or on both, as in the SCID definition, which combines an absolute T-cell count with a naive-CD4 proportion. The choice is also age-dependent, since absolute counts vary with age more than percentages do, so percentages are often preferred in young children. Because a count equals a proportion multiplied by the total lymphocyte number, the two can dissociate: a normal proportion may accompany a low absolute count when total lymphocytes are low, and that dissociation can itself be informative.

Rare diseases that can present with this3

The range is how often this sign appears among people diagnosed with each disease — it is not a probability of having any of them. Many of these signs also occur in common, non-rare conditions. A sign on this page is a conversation to have with a clinician, not a conclusion.

Part of the broader category

Also called: Abnormal proportion of CD8+ T cells · Abnormal proportion of CD8-positive T cells · Abnormal proportion of CD8-positive, alpha-beta T cells