Andrew C. Dixon, MD; Denny W. Kwock; Jeffrey M. Nakamura, MD; Eugene T. Yanagihara, MD; Stanley M. Saiki, MD; Anne J. Bodner, PhD; Steven S. Alexander, PhD
To the Editor: Several recent studies (1-4) have shown that thrombotic thrombocytopenic purpura can be a manifestation of infection with human immunodeficiency virus (HIV). Human T-lymphotrophic virus, type 1 (HTLV-1), is a retrovirus from the same family as HIV. We report the first known case of thrombotic thrombocytopenic purpura in a patient with HTLV-1 infection.
A 55-year-old man, born in Hawaii of southern Japanese ancestry, was hospitalized for weakness, fevers, and a right orbital ecchymosis. He had otherwise been healthy and denied travel outside of Hawaii, previous transfusions, or intravenous drug use. At admission, the patient was febrile but otherwise
Dixon AC, Kwock DW, Nakamura JM, Yanagihara ET, Saiki SM, Bodner AJ, et al. Thrombotic Thrombocytopenic Purpura and Human T-Lymphotrophic Virus, Type 1 (HTLV-1). Ann Intern Med. ;110:93–94. doi: 10.7326/0003-4819-110-1-93
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Published: Ann Intern Med. 1989;110(1):93-94.
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