Sicca syndrome and HTLV-I-associated myelopathy/tropical spastic paraparesis.

Abstract:

PURPOSE:The objective of this study is to describe the clinical and immunological aspects observed in patients with both human T-cell lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis and ocular dryness. METHODS:In 15 such patients, clinical and biological examinations completed with a biopsy of secondary salivary glands were performed to assess the etiology of the ocular dryness. RESULTS:Histological study of the biopsy specimens indicated that 80% of the patients had grade 3 or grade 4 lesions, according to the Chisholm scale. Polyclonal hypergammaglobulinemia was found in 60% of patients and lymphocytic alveolitis in 80%. Three patients had past medical history of chronic uveitis. CONCLUSIONS:All findings in these patients were compatible with Sjögren's syndrome; however, no immunological disorders characteristic of the syndrome were found. Tests for antinuclear antibodies and rheumatoid factor proved negative in all cases.

journal_name

Jpn J Ophthalmol

authors

Merle H,Cabre P,Smadja D,Josset P,Landau M,Vernant JC

doi

10.1016/s0021-5155(99)00106-9

keywords:

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

509-12

issue

6

eissn

0021-5155

issn

1613-2246

pii

S0021515599001069

journal_volume

43

pub_type

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