"Monocytoid" cells in reactive follicular hyperplasia with and without multifocal histiocytic reactions: an immunohistochemical study of 21 cases including suspected cases of toxoplasmic lymphadenitis

Am J Clin Pathol. 1984 Apr;81(4):453-8. doi: 10.1093/ajcp/81.4.453.

Abstract

The presence of "monocytoid" cells in toxoplasmic lymphadenitis is a distinctive histopathologic finding, but the exact nature and immunologic properties of these cells have not been characterized clearly. The authors have evaluated the immunohistochemical features of monocytoid cells in fresh-frozen and paraffin-embedded, fixed lymph node material from 21 cases of reactive follicular hyperplasia including suspected cases of toxoplasmic lymphadenitis. This study revealed that monocytoid cells contain (1) the B lymphocyte surface membrane differentiation antigens B-1 and BA-1, and (2) surface membrane-associated immunoglobulin light chains in a polyclonal distribution. No positive reaction was observed when monocytoid cells were studied with monoclonal antibodies specific for peripheral T cells or with antibodies considered to be specific for cells of the monocytic/histiocytic cell line. The results indicate that monocytoid cells, despite their distinct morphologic appearance, have surface marker characteristics of polyclonal B lymphocytes. Therefore, "monocytoid B lymphocytes" would be a more appropriate designation for these cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Histiocytes / pathology*
  • Histocytochemistry
  • Humans
  • Immunochemistry
  • Lymph Nodes / pathology
  • Lymphadenitis / pathology*
  • Monocytes / pathology*
  • Toxoplasmosis / pathology*