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Letters |1 September 1995

Primary Pulmonary Hypertension in Association with Human T-Cell Lymphotropic Virus Type I in a Hemophiliac

Toru Suzuki, MD

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  • University of Tokyo; Tokyo 153 Japan
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TO THE EDITOR:
I describe the first known case of primary pulmonary hypertension (PPH) in a hemophiliac with human T-cell lymphotropic virus type I (HTLV-I).
A 44-year-old Japanese man with hemophilia A had HTLV-I infection caused by blood transfusions. He experienced aggravating dyspnea on exertion. The physical examination, chest radiograph, and echocardiographic findings suggested pulmonary hypertension. Cardiac catheterization confirmed pulmonary hypertension with near systemic pulmonary artery pressures. Pulmonary capillary wedge pressures were not elevated. No secondary cause of pulmonary hypertension could be found despite extensive testing. The diagnosis of PPH was thus established. Despite transient episodes of aggravation of symptoms, the patient's medical course overall has been favorable.
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Suzuki T. Primary Pulmonary Hypertension in Association with Human T-Cell Lymphotropic Virus Type I in a Hemophiliac. Ann Intern Med. ;123:394. doi: 10.7326/0003-4819-123-5-199509010-00026

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Published: Ann Intern Med. 1995;123(5):394.

DOI: 10.7326/0003-4819-123-5-199509010-00026

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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