[A hemodialysis patient with HTLV-1-associated myelopathy (HAM)].
We report here a case of maintenance hemodialysis with HTLV-1 associated myelopathy (HAM). A 53-year-old female hemodialysis patient was admitted to Teikyo University Ichihara hospital because of paralytic ileus. She had a history of blood transfusion and had been under dialysis treatment for 8 years. She had experienced gait disturbance and sensory disturbance in her lower extremities for 8 years. Neurological examination revealed myelopathy and neuropathy. Laboratory data revealed that serum anti-HTLV-1-antibody was over 1260 x (PA) and liquor HTLV-1-antibody was over 160 x (PA). Her liquor revealed a cell count of 4/3 cmm, protein 22 mg/dl, glucose 45 mg/dl, chloride 125 mEq/l and no atypical cells. To the best of our knowledge this is a rare case in Japan. Our findings suggest that HAM should be taken into consideration when we diagnose a maintenance hemodialysis patient showing neuropathy and myelopathy.
Takeda
F
F
Third Department of Internal Medicine, Teikyo University School of Medicine, Japan.
Inumaru
T
T
Arai
T
T
Momose
T
T
Morio
K
K
Matsuzaki
K
K
Sano
M
M
Koide
K
K
Ono
S
S
Shimizu
N
N
D005260:Female; D015481:HTLV-I Antibodies / Q000097:blood; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008875:Middle Aged; D015493:Paraparesis, Tropical Spastic / Q000209:etiology*; D006435:Renal Dialysis
D015481:HTLV-I Antibodies