Immunologic Analysis of a Spinal CordBiopsy Specimen from a Patient with Human T-Cell Lymphotropic Virus Type IAssociated Neurologic Disease
Michael C. Levin, M.D., Tanya J. Lehky, M.D., Alfred N. Flerlage, B.S., David Katz, M.D., Douglas W. Kingma, M.D., Elaine S. Jaffe, M.D., John D. Heiss, M.D., Nicholas Patronas, M.D., Henry F. McFarland, M.D., and Steven Jacobson, Ph.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Human T-cell lymphotropic virus type I (HTLV-I) is associatedwith adult T-cell leukemia and a chronic progressive neurologicdisease, HTLV-Iassociated myelopathytropical spasticparaparesis (hereafter referred to as HTLV-Iassociatedmyelopathy).1,2,3,4,5 HTVL-I is endemic in Japan, the Caribbean,Africa, and South America.5 Risk factors for infection includesexual contact, exchange of blood products, and vertical transmissionfrom mother to child.5 HTLV-Iassociated myelopathy causesprogressive myelopathy with atrophy of the spinal cord.5,6 Subcorticalwhite-matter lesions are sometimes present on magnetic resonanceimaging.5,6,7 Cerebrospinal fluid shows pleocytosis, elevatedtiters of IgG, and oligoclonal bands.8,9,10 Autopsy resultscorrelate with neurologic findings and show spinal cord . . . [Full Text of this Article]
Case Report
Methods
Immunocytochemical Analysis
PCR
Cell Culture
Cytotoxic T-Lymphocyte Assays
Flow Cytometry
Results
Discussion
Source Information
From the Viral Immunology Section, Neuroimmunology Branch, National Institutes of Health (M.C.L., T.J.L., A.N.F., H.F.M., S.J.); the Neurosurgery Branch (J.D.H.) and the Office of the Clinical Director (D.K.), National Institute of Neurological Diseases and Stroke; and the Departments of Hematopathology (D.W.K., E.S.J.) and Neuroradiology (N.P.), National Cancer Institute all in Bethesda, Md.
Address reprint requests to Dr. Jacobson at the Neuroimmunology Branch, NIH/NINDS, 10 Center Dr., Bldg. 10, Rm. 5B-16, Bethesda, MD 20892.
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