High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.

<h4>Background</h4>Human T-cell lymphotropic virus type 1 (HTLV-1) infection can increase the risk of developing skin disorders. This study evaluated the correlation between HTLV-1 proviral load and CD4(+) and CD8(+) T cells count among HTLV-1 infected individuals, with or without skin d...

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Autores principales: Renata Okajima, Augusto C P Oliveira, Jerusa Smid, Jorge Casseb, Jose Antonio Sanches
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:99d53eed03cc4d95988df25053c7779b2021-11-18T09:16:42ZHigh prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.1935-27271935-273510.1371/journal.pntd.0002546https://doaj.org/article/99d53eed03cc4d95988df25053c7779b2013-11-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24244779/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Human T-cell lymphotropic virus type 1 (HTLV-1) infection can increase the risk of developing skin disorders. This study evaluated the correlation between HTLV-1 proviral load and CD4(+) and CD8(+) T cells count among HTLV-1 infected individuals, with or without skin disorders (SD) associated with HTLV-1 infection [SD-HTLV-1: xerosis/ichthyosis, seborrheic dermatitis or infective dermatitis associated to HTLV-1 (IDH)].<h4>Methods</h4>A total of 193 HTLV-1-infected subjects underwent an interview, dermatological examination, initial HTLV-1 proviral load assay, CD4(+) and CD8(+) T cells count, and lymphproliferation assay (LPA).<h4>Results</h4>A total of 147 patients had an abnormal skin condition; 116 (79%) of them also had SD-HTLV-1 and 21% had other dermatological diagnoses. The most prevalent SD-HTLV-1 was xerosis/acquired ichthyosis (48%), followed by seborrheic dermatitis (28%). Patients with SD-HTLV-1 were older (51 vs. 47 years), had a higher prevalence of myelopathy/tropical spastic paraparesis (HAM/TSP) (75%), and had an increased first HTLV-1 proviral load and basal LPA compared with patients without SD-HTLV-1. When excluding HAM/TSP patients, the first HTLV-1 proviral load of SD-HTLV-1 individuals remains higher than no SD-HTLV-1 patients.<h4>Conclusions</h4>There was a high prevalence of skin disorders (76%) among HTLV-1-infected individuals, regardless of clinical status, and 60% of these diseases are considered skin disease associated with HTLV-1 infection.Renata OkajimaAugusto C P OliveiraJerusa SmidJorge CassebJose Antonio SanchesPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 7, Iss 11, p e2546 (2013)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Renata Okajima
Augusto C P Oliveira
Jerusa Smid
Jorge Casseb
Jose Antonio Sanches
High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
description <h4>Background</h4>Human T-cell lymphotropic virus type 1 (HTLV-1) infection can increase the risk of developing skin disorders. This study evaluated the correlation between HTLV-1 proviral load and CD4(+) and CD8(+) T cells count among HTLV-1 infected individuals, with or without skin disorders (SD) associated with HTLV-1 infection [SD-HTLV-1: xerosis/ichthyosis, seborrheic dermatitis or infective dermatitis associated to HTLV-1 (IDH)].<h4>Methods</h4>A total of 193 HTLV-1-infected subjects underwent an interview, dermatological examination, initial HTLV-1 proviral load assay, CD4(+) and CD8(+) T cells count, and lymphproliferation assay (LPA).<h4>Results</h4>A total of 147 patients had an abnormal skin condition; 116 (79%) of them also had SD-HTLV-1 and 21% had other dermatological diagnoses. The most prevalent SD-HTLV-1 was xerosis/acquired ichthyosis (48%), followed by seborrheic dermatitis (28%). Patients with SD-HTLV-1 were older (51 vs. 47 years), had a higher prevalence of myelopathy/tropical spastic paraparesis (HAM/TSP) (75%), and had an increased first HTLV-1 proviral load and basal LPA compared with patients without SD-HTLV-1. When excluding HAM/TSP patients, the first HTLV-1 proviral load of SD-HTLV-1 individuals remains higher than no SD-HTLV-1 patients.<h4>Conclusions</h4>There was a high prevalence of skin disorders (76%) among HTLV-1-infected individuals, regardless of clinical status, and 60% of these diseases are considered skin disease associated with HTLV-1 infection.
format article
author Renata Okajima
Augusto C P Oliveira
Jerusa Smid
Jorge Casseb
Jose Antonio Sanches
author_facet Renata Okajima
Augusto C P Oliveira
Jerusa Smid
Jorge Casseb
Jose Antonio Sanches
author_sort Renata Okajima
title High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
title_short High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
title_full High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
title_fullStr High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
title_full_unstemmed High prevalence of skin disorders among HTLV-1 infected individuals independent of clinical status.
title_sort high prevalence of skin disorders among htlv-1 infected individuals independent of clinical status.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/99d53eed03cc4d95988df25053c7779b
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