HTLV-I-Associated Myelopathy in a Patient with Chronic Renal Failure
作者:
Kaichiro Tamba,
Yoshihiro Miyauchi,
Noritsugu Irabu,
Shino Murakami,
期刊:
Nephron
(Karger Available online 1994)
卷期:
Volume 66,
issue 3
页码: 351-353
ISSN:1660-8151
年代: 1994
DOI:10.1159/000187836
出版商: S. Karger AG
关键词: Chronic renal failure;Glucocorticoid;Hemodialysis;Human T-cell lymphotrophic virus type I;HTLV-I-associated myelopathy
数据来源: Karger
摘要:
A case of human T-cell lymphotrophic virus type I (HTLV-I)-associated myelopathy (HAM) occurring in a 62-year-old Japanese male with a history of hemodialysis and repeated blood tranfusions due to chronic renal failure (CRF) is reported. The patient was a lifelong resident of Chiba Prefecture, a nonendemic area for HTLV-I infections. The clinical course was characterized by abrupt onset and rapid progression of neurological signs and symptoms, which appeared to have responded quite well to prednisolone. Although patients with a history of CRF, hemodialysis, and transfusion of blood units which were not screened for anti-HTLV-I antibodies appear to belong to the high risk group for HTLV-I infections and subsequent development of HAM, reports on such cases have been scanty. Only 3 cases have been reported to date. It appears quite possible that many patients with CRF and HAM remain misdiagnosed.
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