Furukawa Y, Okadome T, Tara M, Niina K, Izumo S, Osame M
Third Department of Internal Medicine, Kagoshima University.
Intern Med. 1995 Nov;34(11):1130-3. doi: 10.2169/internalmedicine.34.1130.
We report a 47-year-old Japanese woman with HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) combined with acute type adult T-cell leukemia (ATL). The susceptibility for HAM/TSP and acute type of ATL is hitherto explained by human leukocyte antigen (HLA) haplotype-linked immune responsiveness to HTLV-I. This patient's HLA (A24Cw1B54DR4DQ4/A24Cw3B51DR8DQ1) included a HAM-associated HLA haplotype. This suggests that HAM patients with HAM-associated HLA haplotype can also develop the acute type of ATL.
我们报告了一名47岁的日本女性,她患有人类嗜T淋巴细胞病毒I型(HTLV-I)相关脊髓病/热带痉挛性截瘫(HAM/TSP),并合并急性型成人T细胞白血病(ATL)。迄今为止,HAM/TSP和急性型ATL的易感性是通过人类白细胞抗原(HLA)单倍型相关的对HTLV-I的免疫反应性来解释的。该患者的HLA(A24Cw1B54DR4DQ4/A24Cw3B51DR8DQ1)包含一个与HAM相关的HLA单倍型。这表明具有与HAM相关的HLA单倍型的HAM患者也可能发展为急性型ATL。