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
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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. 1989;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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