title: Inflammatory myopathy on HTLV-I infection: case report.
abstract: We describe a 41 years old woman who 17 years ago presented hypotonia and proximal muscular weakness in the upper and lower limbs. On neurological examination, the biceps, triceps and Achilles reflexes were absent; the brachioradialis reflexes were decreased and the patellar reflexes were normal. There was bilateral Babinski sign. The remainder of the neurological examination was unremarkable. In the investigation a myopathic pattern was found in the electromyography. The nerve-conduction study was normal; a ELISA method for HTLV-I antibodies was positive in the blood and in the cerebral spinal fluid. The muscle biopsy showed inflammatory myopathy, compatible with polymyositis. This paper focuses the polymyositis in the beginning of an HTLV-I infection case.
authors: Serviço de Doenças Neuromusculares, Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná, Brazil. scola@hc.ufpr.br
authors: R H
authors: RH
authors: Scola
authors: L C
authors: LC
authors: Werneck
authors: M E
authors: ME
authors: Heinig
authors: J B
authors: JB
authors: Milano
authors: S M
authors: SM
authors: Almeida
authors: W O
authors: WO
authors: Arruda
mesh_terms: D000328:Adult; D001706:Biopsy; D004576:Electromyography; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D015481:HTLV-I Antibodies / Q000097:blood / Q000134:cerebrospinal fluid; D015490:HTLV-I Infections / Q000150:complications* / Q000473:pathology; D006801:Humans; D017285:Polymyositis / Q000473:pathology / Q000821:virology*
chemical_list: D015481:HTLV-I Antibodies