PMID- 8712884 OWN - NLM STAT- MEDLINE DCOM- 19960910 LR - 20220419 IS - 0003-4967 (Print) IS - 1468-2060 (Electronic) IS - 0003-4967 (Linking) VI - 55 IP - 3 DP - 1996 Mar TI - High prevalence of arthropathy in HTLV-I carriers on a Japanese island. PG - 193-5 AB - OBJECTIVE: To determine the aetiological relationship between human T cell leukaemia virus type-I (HTLV-I) and arthritis, by performing an epidemiological study of the inhabitants of Tsushima, an island northwest of the main island of Kyushu, Japan, which is an endemic area of HTLV-I. METHODS: A total of 7087 people underwent an annual health check, and those with arthropathy had further physical and radiological examinations by rheumatologists. The presence of HTLV-I antibody was determined by the particle agglutinin method, and integration of the proviral DNA in peripheral lymphocytes was confirmed by polymerase chain reaction. RESULTS: HTLV-I was positive in 26.1% of inhabitants; the incidence increased to 37.0% in patients with symptoms of polyarthritis. The prevalence of rheumatoid arthritis (RA) was significantly different between HTLV-I carriers (0.56%) and non-carriers (0.31%). The stage of bone destruction in HTLV-I carriers with articular symptoms was milder than that in RA patients without HTLV-I. The relative risk of HTLV-I infection for polyarthritis was 1.66 (p < 0.05). CONCLUSION: This is the first epidemiological report clarifying the association between HTLV-I and polyarthritis. Our results suggest that this viral infection has a relationship to RA. FAU - Motokawa, S AU - Motokawa S AD - Department of Orthopaedics, Nagasaki Chuo National Hospital, Japan. FAU - Hasunuma, T AU - Hasunuma T FAU - Tajima, K AU - Tajima K FAU - Krieg, A M AU - Krieg AM FAU - Ito, S AU - Ito S FAU - Iwasaki, K AU - Iwasaki K FAU - Nishioka, K AU - Nishioka K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Ann Rheum Dis JT - Annals of the rheumatic diseases JID - 0372355 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) SB - IM MH - Antibodies, Viral/*blood MH - Arthritis, Rheumatoid/epidemiology/*virology MH - Carrier State MH - DNA, Viral/analysis MH - Female MH - HTLV-I Infections/*complications/genetics/immunology MH - Humans MH - Incidence MH - Japan/epidemiology MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Prevalence MH - Risk PMC - PMC1010128 EDAT- 1996/03/01 00:00 MHDA- 1996/03/01 00:01 PMCR- 1999/03/01 CRDT- 1996/03/01 00:00 PHST- 1996/03/01 00:00 [pubmed] PHST- 1996/03/01 00:01 [medline] PHST- 1996/03/01 00:00 [entrez] PHST- 1999/03/01 00:00 [pmc-release] AID - 10.1136/ard.55.3.193 [doi] PST - ppublish SO - Ann Rheum Dis. 1996 Mar;55(3):193-5. doi: 10.1136/ard.55.3.193.