Experience of human lymphotropic virus type 1 (HTLV-I) in an East London hospital
J Infect
; 32(1): 33-9, Jan. 1996.
Article
in English
| MedCarib
| ID: med-2370
Responsible library:
JM3.1
Localization: JM3.1
ABSTRACT
We describe the experience of The Royal London Hospital with human T-cell lymphotropic virus type 1 (HTLV-1 related disease. Twelve patients presented from 1988-1993, nine of them in 1993. None were born in the U.K. and 11 were of West Indian origin. Ten had overt lymphomas, one tropical spastic paraparesis/HTLV-1 associated myelopathy (TSP/HAM) and one typical lymphocytosis and strongyloidiasis. Five presented acutely ill to casualty and three died shortly after presentation. Four had been referred to rheumatologists and five had predominantly gastrointestinal symptoms. The population of Caribbean origin served by the hospital is 23,700 and one would only expect one or two cases of lymphoma and one or two of TSP/HAM per year. Overall the spectrum of clinical disease at presentation was varied. Suspicion of HTLV-1 infection is merited in patients of West Indian origin between the ages of 30 - 65 years, who present with a sarcoid-like illness, gastrointestinal symptoms, leukaemia/lymphoma, myelopathy or myositis like-illness. (AU)
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Collection:
International databases
Database:
MedCarib
Main subject:
Human T-lymphotropic virus 1
/
Leukemia-Lymphoma, Adult T-Cell
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Caribbean
/
Europa
Language:
English
Journal:
J Infect
Year:
1996
Document type:
Article