[Myelopathy with uveitis in association with HTLV-I mimicking neuro-Behçet's disease].
A 31-year-old woman was referred to our hospital because of recurrent uveitis with oral aphthae for four years, and subacute double incontinence with spastic paraparesis under a clinical diagnosis of neuro-Behçet's disease. She was found to have high titers of anti-HTLV-I antibody in the serum, the cerebrospinal fluid and the aqueous humor, and a diagnosis of HTLV-I associated myelopathy (HAM) with HTLV-I uveitis was confirmed. The neurological symptoms improved transiently with prednisolone therapy. HTLV-I uveitis is known sometimes complicated with HAM. The neurological features together with uveitis in the present case were allied to those of neuro-Behçet's disease. Therefore, HAM with uveitis should be differentiated from neuro-Behçet's disease.
Saito
Y
Y
Department of Neurology, Nagoya University School of Medicine.
Ando
T
T
Kameyama
T
T
Takahashi
A
A
Horiguchi
M
M
D000328:Adult; D001528:Behcet Syndrome / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D015490:HTLV-I Infections / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis*; D015493:Paraparesis, Tropical Spastic / Q000150:complications / Q000175:diagnosis*; D012008:Recurrence; D014605:Uveitis / Q000150:complications / Q000175:diagnosis*