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Correspondence
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Volume 338:333 January 29, 1998 Number 5
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Adult T-Cell Leukemia with HTLV-I–Associated Myelopathy after Complete Remission of Acute Myelogenous Leukemia

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To the Editor: Human T-cell lymphotropic virus type I (HTLV-I) is the causative agent of adult T-cell leukemia–lymphoma (ATL) and HTLV-I–associated myelopathy–tropical spastic paraparesis (HAM–TSP), a neurologic disorder. The virus is transmitted through sexual contact, breast-feeding, and blood transfusion. We describe a patient with both ATL and HAM–TSP, which developed during a complete remission of acute myelogenous leukemia.

A 70-year-old heterosexual man, who had been born and lived in an area of Japan where HTLV-I was not endemic, was admitted to our hospital in June 1985. Acute myelogenous leukemia was diagnosed, and he received numerous blood transfusions for two years . . . [Full Text of this Article]

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