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不伴有热带痉挛性瘫痪及HTLV-I相关脊髓病的HTLV-I感染性周围神经病 被引量:1

Peripheral neuropathy in HTLV-I infected individuals without tropical spastic paraparesis/HTLV-I associated myelopathy
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摘要 Tropical spastic paraparesis/HTLV I associated myelopathy (TSP/HAM) is the classical neurological manifestation of HTLV I. Only a few studies have described isolated peripheral neuropathy (PN) among HTLV I infected individuals. 335 infected individuals without TSP/HAM were evaluated for the presence of PN and 45 of them showed evidences of peripheral nervous system involvement. Of these 21 patients had isolated PN, defined by clinical and/or electrophysiological criteria. Sural nerve biopsies revealed inflammatory infiltrates in 2, axonal degeneration in 2 and segmental demyelination in 1. Therefore, peripheral neuropathy can be found as an isolated manifestation of HTLV I infection. We conclude that HTLV I infection should be investigated in patients with PN of unknown origin. Tropical spastic paraparesis/HTLV I associated myelopathy (TSP/HAM) is the classical neurological manifestation of HTLV I. Only a few studies have described isolated peripheral neuropathy (PN) among HTLV I infected individuals. 335 infected individuals without TSP/HAM were evaluated for the presence of PN and 45 of them showed evidences of peripheral nervous system involvement. Of these 21 patients had isolated PN, defined by clinical and/or electrophysiological criteria. Sural nerve biopsies revealed inflammatory infiltrates in 2, axonal degeneration in 2 and segmental demyelination in 1. Therefore, peripheral neuropathy can be found as an isolated manifestation of HTLV I infection. We conclude that HTLV I infection should be investigated in patients with PN of unknown origin.
出处 《世界核心医学期刊文摘(神经病学分册)》 2005年第1期15-15,共1页 Digest of the World Core Medical Journals:Clinical Neurology
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