Oliveira J T, Carneiro-Proietti A B, Lima-Martins M V, Martins M L, Proietti F A
Departamento de Neurologia, Universidade Federal de Minas Gerais.
Arq Neuropsiquiatr. 1998 Mar;56(1):123-5. doi: 10.1590/s0004-282x1998000100021.
A case of HTLV-I/II myelopathy in which the initial complaint was erectile insufficiency (EI) is reported. The only abnormalities found on the neurological exam were discrete weakness of the psoas and increased knee jerk reflexes. Diagnosis was made by demonstrating antibodies anti-HTLV I/II in the serum and cerebrospinal fluid (with the techniques of ELISA and Western blot), with confirmation by the polymerase chain reaction (PCR). EI can thus be the first symptom of HTLV-I/II infection and patients with EI of unknown etiology should be tested for HTLV-I/II in endemic areas.
报告了一例以勃起功能障碍（EI）为首发症状的人类嗜T淋巴细胞病毒I/II型脊髓病。神经系统检查发现的唯一异常是腰大肌轻度无力和膝跳反射增强。通过酶联免疫吸附测定（ELISA）和蛋白质印迹法在血清和脑脊液中检测抗人类嗜T淋巴细胞病毒I/II型抗体进行诊断，并通过聚合酶链反应（PCR）进行确认。因此，EI可能是人类嗜T淋巴细胞病毒I/II型感染的首发症状，在流行地区，病因不明的EI患者应检测人类嗜T淋巴细胞病毒I/II型。
