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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">B and T cell screen</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>B and T cell screen is a laboratory test to determine the amount of B and T lymphocytes in the blood.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>A <a test="test" href="./003423.htm">blood sample is needed</a>. </p><p>Blood could also be obtained by <a test="test" href="./003427.htm">capillary sample</a> (fingerstick or heel stick in infants).</p><p>After the blood is drawn, it goes through a two-step process. First, the lymphocytes are separated from other blood parts. Once the cells are separated, identifiers are added to distinguish between T and B cells.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Tell your health care provider if you have had any of the following, which might affect your T and B cell count:</p><ul><li><a test="test" href="./002324.htm">Chemotherapy</a></li><li><a test="test" href="./000594.htm">HIV/AIDS</a></li><li><a test="test" href="./001918.htm">Radiation therapy</a></li><li>Recent or current infection</li><li>Steroid therapy</li><li><a test="test" href="./003211.htm">Stress</a></li><li>Surgery</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Your provider may order this test if you have signs of certain diseases that weaken the immune system. It may also be used to distinguish between cancerous and noncancerous disease, particularly cancers that involve the blood and bone marrow.</p><p>The test may also be used to determine how well treatment for certain conditions is working.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Abnormal B and T cell counts may suggest a possible disease. Further testing is needed to confirm a diagnosis.</p><p>An increased T cell count may be due to:</p><ul><li>Cancer of white blood cells called lymphoblasts (<a test="test" href="./000541.htm">acute lymphoblastic leukemia</a>)</li><li>Cancer of white blood cells called lymphocytes (<a test="test" href="./000532.htm">chronic lymphocytic leukemia</a>)</li><li>A viral infection called <a test="test" href="./000591.htm">infectious mononucleosis</a></li><li>Blood cancer that starts in the plasma cells in the bone marrow (<a test="test" href="./000583.htm">multiple myeloma</a>)</li><li>Syphilis, a sexually transmitted disease (STD)</li><li>Toxoplasmosis, an infection due to a parasite</li><li>Tuberculosis </li></ul><p>An increased B cell count may be due to:</p><ul><li>Chronic lymphocytic leukemia</li><li>DiGeorge syndrome</li><li>Multiple myeloma</li><li><a test="test" href="./000588.htm">Waldenström macroglobulinemia</a></li></ul><p>A decreased T cell count may be due to:</p><ul><li>Congenital T-cell deficiency disease, such as Nezelof syndrome, DiGeorge syndrome, or Wiskott-Aldrich syndrome</li><li>Acquired T-cell deficiency states, such as HIV infection or HTLV-1 infection</li><li>B cell proliferative disorders, such as chronic lymphocytic leukemia or Waldenström macroglobulinemia </li></ul><p>A decreased B cell count may be due to:</p><ul><li><a test="test" href="./000594.htm">HIV/AIDS</a></li><li>Acute lymphoblastic leukemia</li><li><a test="test" href="./000818.htm">Immunodeficiency disorders</a></li><li>Treatment with certain medicines </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Veins and arteries vary in size from one person to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.</p><p>Other risks associated with having blood drawn are slight but may include:</p><ul><li>Excessive bleeding</li><li>Fainting or feeling lightheaded</li><li>Hematoma (blood accumulating under the skin)</li><li>Infection (a slight risk any time the skin is broken)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>E-rosetting; T and B lymphocyte assays; B and T lymphocyte assays</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Liebman HA, Tulpule A. Hematologic manifestations of HIV/AIDS. In: Hoffman R, Benz EJ, Silberstein LE, et al, eds. <em>Hematology: Basic Principles and Practice</em>. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 157.</p><p>Riley RS, Mageau R, Ben-Ezra J. Laboratory evaluation of the cellular immune system. In: McPherson RA, Pincus MR, eds. <em>Henry's Clinical Diagnosis and Management by Laboratory Methods</em>. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 46.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 12/4/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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