PMID- 8729772
OWN - NLM
STAT- MEDLINE
DCOM- 19961119
LR  - 20190815
IS  - 0004-282X (Print)
IS  - 0004-282X (Linking)
VI  - 53
IP  - 4
DP  - 1995 Dec
TI  - HTLV-I associated uveitis, myelopathy, rheumatoid arthritis and Sjogren's 
      syndrome.
PG  - 777-81
AB  - A 62 year-old white female presented with a 10-year-history of slowly progressive 
      spastic paraparesis, pain and dysesthesia in the lower limbs and sphincter 
      disturbance. A few years after the onset of the neurologic symptoms she 
      developped migratory arthritis with swelling of the knees and pain on palpation 
      of knees and fingers, dry eyes, mouth and skin. Two months before admission she 
      presented bilateral nongranulomatous anterior uveitis. Examination revealed 
      spastic paraparesis with bilateral Babinski sign, a decreased sensation level 
      below L3, decreased vibration sense in the lower extremities, and a postural 
      tremor of the upper limbs. Laboratory work-up disclosed HTLV-I positive tests in 
      the blood and cerebrospinal fluid (CSF), and a mild pleocytosis in the CSF with a 
      normal protein content. Nerve conduction velocity studies were normal. The 
      present case shows the association of uveitis, arthritis and Sjogren's syndrome 
      in a patient with tropical spastic paraparesis/human T-cell lymphotropic virus 
      type I (HTLV-I) associated myelopathy (TSP/HAM), and illustrates the wide 
      spectrum of clinical manifestations which may accompany this infection with this 
      virus.
FAU - Pinheiro, S R
AU  - Pinheiro SR
AD  - Department of Ophthalmology, Federal University of Minas Gerais Medical School, 
      Rua Sao Paulo, Brasil.
FAU - Lana-Peixoto, M A
AU  - Lana-Peixoto MA
FAU - Proietti, A B
AU  - Proietti AB
FAU - Orefice, F
AU  - Orefice F
FAU - Lima-Martins, M V
AU  - Lima-Martins MV
FAU - Proietti, F A
AU  - Proietti FA
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Germany
TA  - Arq Neuropsiquiatr
JT  - Arquivos de neuro-psiquiatria
JID - 0125444
SB  - IM
MH  - Arthritis, Rheumatoid/*virology
MH  - Female
MH  - HTLV-I Infections/*virology
MH  - Humans
MH  - Middle Aged
MH  - Paraparesis, Tropical Spastic/*virology
MH  - Sjogren's Syndrome/*virology
MH  - Uveitis, Anterior/*virology
EDAT- 1995/12/01 00:00
MHDA- 1995/12/01 00:01
CRDT- 1995/12/01 00:00
PHST- 1995/12/01 00:00 [pubmed]
PHST- 1995/12/01 00:01 [medline]
PHST- 1995/12/01 00:00 [entrez]
AID - 10.1590/s0004-282x1995000500011 [doi]
PST - ppublish
SO  - Arq Neuropsiquiatr. 1995 Dec;53(4):777-81. doi: 10.1590/s0004-282x1995000500011.