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1994-08-27
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Document 0719
DOCN M9480719
TI [A case of bronchiectasis accompanied by ulcerative colitis (UC) and
HTLV-1 associated myelopathy (HAM)]
DT 9410
AU Suzuki I; Watanabe N; Suzuki J; Yamaguchi E; Munakata M; Fujita M; First
Department of Medicine, Hokkaido University School of; Medicine,
Sapporo, Japan.
SO Nippon Kyobu Shikkan Gakkai Zasshi. 1994 Apr;32(4):358-63. Unique
Identifier : AIDSLINE MED/94315794
AB We report a case of bronchiectasis with marked thickening of the
respiratory tract wall occurring in a 37-year-old man with UC and HAM.
He was diagnosed as UC at age 20. HTLV-1 was presumably transmitted to
this patient by means of a blood transfusion he received at around age
30. On admission, chest X-ray films, tomography and CT-scan revealed
dilated lumens and thickened airway walls extending from the trachea to
subsegmental bronchi. Pulmonary function tests showed hypoxemia and
mixed ventilatory disturbance with a predominantly obstructive
component. HAM was diagnosed on the basis of neurological examination
and cerebrospinal fluid analysis. A biopsy specimen from the carinal
mucosa showed marked T cell infiltration. In these T cells, we detected
polyclonal integration of HTLV-1 proviral DNA. Some of the infiltrating
T cells showed atypia. In recent times, respiratory diseases other than
infiltration of adult T-cell leukemia cells or opportunistic infection
have been reported in HTLV-1 carriers and new clinical entities
designated as HABA (HTLV-1 associated bronchiolo-alveolar disorder) and
HBA (HTLV-1 associated bronchopneumopathy) have been proposed. This case
is classified among these new entities, in a broad sense, and is a rare
case in that the respiratory disorder is apparently related to UC.
DE Adult Bronchiectasis/*ETIOLOGY Case Report Colitis,
Ulcerative/*COMPLICATIONS English Abstract Human Male Paraparesis,
Tropical Spastic/*COMPLICATIONS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).