“…There is general agreement, however, that there is a high predominance of CD4+ Th2 immune response in these patients, which has resulted in ADCL being regarded as a polar form of ACL. The view that has been expressed in most situations is that MCL is an intermediate form between LCL and ADCL and, consequently, the disease has been linked to a mixture of Th1 and Th2 immune responses (Convit et al 2004). We feel it more correct, however, to regard MCL and ADCL as polar forms of ACL, in the hypersensitivity pole (high Th1 immune activation) and the hyposensitivity pole (high Th2 immune activation), respectively, with LCL (moderate Th1 immune activation) occupying the middle of this spectrum.…”