Abstract
The case is described of an HTLV-1 seropositive Jamaican woman who presented with signs and symptoms of polymyositis and myelopathy. A muscle biopsy showed features of myositis with a mononuclear inflammatory infiltrate, variation in fibre size and evidence of regeneration. Immunocytochemistry showed the mononuclear cells were composed of macrophages and T-lymphocytes suggesting a cell-mediated response. Multiplex PCR demonstrated the presence of the HTLV-1 tax gene within the muscle.
MeSH terms
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Biopsy
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Female
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Human T-lymphotropic virus 1 / isolation & purification*
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Humans
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Immunohistochemistry
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Macrophages / immunology
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Macrophages / pathology
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Middle Aged
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Muscle, Skeletal / immunology
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Muscle, Skeletal / pathology
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Paraparesis, Tropical Spastic / immunology
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Paraparesis, Tropical Spastic / pathology*
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Paraparesis, Tropical Spastic / physiopathology
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Polymerase Chain Reaction / methods
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Polymyositis / immunology
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Polymyositis / pathology
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Polymyositis / virology*
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T-Lymphocytes / immunology
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T-Lymphocytes / pathology