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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2 ( Pt 1)
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pubmed:dateCreated |
1991-3-14
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pubmed:abstractText |
We performed a serologic survey for antibodies to HTLV-I/II in the course of a longitudinal study of the neurologic complications of HIV-1 infection. Nine (3.7%) of 242 HIV-1 seropositive subjects and none of 60 HIV-1 seronegative control subjects had antibodies to HTLV-I/II by ELISA. Western blot and polymerase chain reaction confirmed the presence of HTLV-I in 2 subjects and HTLV-II infection in 2 others. Both HIV-1/HTLV-I coinfected subjects and 1 HIV-1/HTLV-II coinfected subject had a slowly progressive myelopathy clinically identical tropical spastic paraparesis/HTLV-I-associated myelopathy (TSP/HAM). The presence of a myelopathy resembling TSP/HAM in the coinfected subjects suggests that HIV-1 may enhance the expression of neurologic disease caused by HTLV. Patients with a progressive myelopathy occurring in association with HIV-1 infection should be serologically tested for the presence of HTLV. Establishing dual infection has therapeutic and prognostic import as 1 of the HIV-1/HTLV-I subjects substantially improved with corticosteroids and the HIV-1/HTLV-II subject with myelopathy had a marked improvement in the absence of therapeutic intervention.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0028-3878
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
41
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
197-202
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:1671529-Adult,
pubmed-meshheading:1671529-Deltaretrovirus,
pubmed-meshheading:1671529-Deltaretrovirus Infections,
pubmed-meshheading:1671529-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:1671529-Epidemiologic Methods,
pubmed-meshheading:1671529-Female,
pubmed-meshheading:1671529-HIV Infections,
pubmed-meshheading:1671529-HIV Seropositivity,
pubmed-meshheading:1671529-Human T-lymphotropic virus 1,
pubmed-meshheading:1671529-Human T-lymphotropic virus 2,
pubmed-meshheading:1671529-Humans,
pubmed-meshheading:1671529-Male,
pubmed-meshheading:1671529-Nervous System Diseases,
pubmed-meshheading:1671529-Polymerase Chain Reaction
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pubmed:year |
1991
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pubmed:articleTitle |
The role of HTLV in HIV-1 neurologic disease.
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pubmed:affiliation |
Department of Neurology, University of Miami School of Medicine, FL 33136.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports
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