[4 new cases of neuromyositis, one of them associated with HTLV-I infection].
Neuromyositis is a very rare type of polymyositis where, beside the usual muscular manifestations, there are signs of peripheral neuropathy which can be found at clinical, electromyographic and/or pathological examination. We have seen between 1983 and 1990 four cases of neuromyositis. The neurological disorder was an axonopathy in two cases which is usual in neuromyositis; in the other two cases, there was a polyradiculoneuritis which seems to be very rare in this syndrome. In the four patients the disease was particularly severe and unresponsive to treatment. One of our patients had HTLV-I infection diagnosed by polymerase chain reaction amplification and in situ hybridization, while the serological test was negative. To our knowledge only three cases of HTLV-I associated neuromyositis have been reported in the literature.
Laraki
R
R
Service de Médecine Interne, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Bletry
O
O
Raguin
G
G
Agbalika
F
F
Bouche
P
P
Léger
J M
JM
Perol
Y
Y
Godeau
P
P
D000328:Adult; D001706:Biopsy; D015490:HTLV-I Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D016133:Polymerase Chain Reaction; D017285:Polymyositis / Q000209:etiology* / Q000473:pathology; D011129:Polyradiculoneuropathy / Q000209:etiology; D012189:Retrospective Studies
Quatre nouvelles observations de neuromyosites, dont un cas associé à une infection par HTLV-I.