Human T-cell lymphotropic virus type-I (HTLV-I)-associated myelopathy/tropical spastic paraparesis with acute type of adult T-cell leukemia

Intern Med. 1995 Nov;34(11):1130-3. doi: 10.2169/internalmedicine.34.1130.

Abstract

We report a 47-year-old Japanese woman with HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) combined with acute type adult T-cell leukemia (ATL). The susceptibility for HAM/TSP and acute type of ATL is hitherto explained by human leukocyte antigen (HLA) haplotype-linked immune responsiveness to HTLV-I. This patient's HLA (A24Cw1B54DR4DQ4/A24Cw3B51DR8DQ1) included a HAM-associated HLA haplotype. This suggests that HAM patients with HAM-associated HLA haplotype can also develop the acute type of ATL.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fatal Outcome
  • Female
  • HLA Antigens / immunology*
  • Haplotypes
  • Humans
  • Leukemia-Lymphoma, Adult T-Cell / complications*
  • Leukemia-Lymphoma, Adult T-Cell / immunology
  • Leukemia-Lymphoma, Adult T-Cell / pathology
  • Paraparesis, Tropical Spastic / complications*
  • Paraparesis, Tropical Spastic / etiology*
  • Paraparesis, Tropical Spastic / immunology
  • Paraparesis, Tropical Spastic / pathology

Substances

  • HLA Antigens