Scola R H, Werneck L C, Heinig M E, Milano J B, Almeida S M, Arruda W O
Serviço de Doenças Neuromusculares, Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná, Brazil.
Arq Neuropsiquiatr. 2001 Mar;59(1):119-22. doi: 10.1590/s0004-282x2001000100025.
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.
我们描述了一位41岁的女性，她17年前出现了肌张力减退以及上下肢近端肌肉无力的症状。神经系统检查发现，肱二头肌、肱三头肌及跟腱反射消失；桡骨膜反射减弱，髌反射正常。存在双侧巴宾斯基征。神经系统检查的其余部分无异常。在检查中，肌电图显示为肌病模式。神经传导研究正常；血液和脑脊液中HTLV-I抗体的ELISA检测方法呈阳性。肌肉活检显示为炎症性肌病，符合多发性肌炎。本文重点关注了HTLV-I感染病例初期的多发性肌炎。
