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PLASMAPHERESIS IN TREATMENT OF HUMAN T-LYMPHOTROPIC VIRUS TYPE-I ASSOCIATED MYELOPATHY
Abstract
In 11 of 18 patients with human T-lymphotropic virus type-I (HTLV-I) associated myelopathy (HAM) gait, sensory, and/or sphincter disturbance improved with plasmapheresis (4 to 6 sessions in 2 weeks), and the effects were maintained for 2 to 4 weeks. Plasmapheresis lowered the titre of HTLV-I antibody in serum but not in cerebrospinal fluid, and change of HTLV-I antibody titres did not correlate with the effects of plasmapheresis. These results suggest that plasmapheresis is useful treatment, at least in producing a temporary improvement, in patients with HAM, and that some humoral factor(s), but not HTLV-I antibody, may be important in the pathogenesis of HAM.
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Plasmapheresis was demonstrated to improve gait and reduce sensory and sphincter disturbances in 11 out of 18 patients with 4-6 sessions in a two-week period.
“Plasmapheresis was demonstrated to improve gait and reduce sensory and sphincter disturbances in 11 out of 18 patients with 4–6 sessions in a two-week period [256].”
From Current State of Therapeutics for HTLV-1 (2024) · cites this paper as [256]
Plasmapheresis may offer a temporary improvement in HAM patients.
“Furthermore, a lower serum HTLV-1 antibody titre was observed, suggesting that plasmapheresis may offer a temporary improvement in HAM patients.”
From Current State of Therapeutics for HTLV-1 (2024) · cites this paper as [256]
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Research works printed but not linked: 21
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Cited by
Sorted by citations
Therapeutic trials in 200 patients with HTLV-Iassociated myelopathy/tropical spastic paraparesis
Nakagawa, M., Nakahara, K., Maruyama, Y., Kawabata, M., Higuchi, I., Kubota, H., Izumo, S., Arimura, K., & Osame, M. (1996) · Journal of Neurovirology · doi:10.3109/13550289609146899 · Cited by 150
Current State of Therapeutics for HTLV-1
Wang, T. T., Hirons, A., Doerflinger, M., Morris, K. V., Ledger, S., Purcell, D. F. J., Kelleher, A. D., & Ahlenstiel, C. L. (2024) · Viruses · doi:10.3390/v16101616 · Cited by 22
“…Topical or systemic corticosteroids and mydriatics [263] HTLV-1-associated Sjögren’s Syndrome Artificial lubricants such as saliva/tears replacement solutions coupled with systemic pharmacotherapy with pilocarpine hydrochloride [264] HTLV-1-associated Hashimoto’s thyroiditis and Graves’ disease”
Background
Metadata
- Authors
- Matsuo, H., Tsujihata, M., Satoh, A., Shirabe, S., Nakamura, T., Kinoshita, I., Tomita, I., Shibayama, K., & Nagataki, S.
- Affiliations
- Nagasaki University (JP)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1988-11
- Volume
- 332
- Issue
- 8620
- Pages
- 1109-1113
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2019526141
- Cited by
- 55
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2021: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 1.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and Retrovirus Studies
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Keywords
- plasmapheresis, tropical spastic paraparesis, HTLV-1, cerebrospinal fluid, humoral immune factors, pathogenesis, gait disturbance, sensory disturbances, sphincter dysfunction
- MeSH terms
- Adult, Aged, Antibodies, Viral, Anus Diseases, Evaluation Studies as Topic, Female, Deltaretrovirus Infections, Humans, Locomotion, Male, Middle Aged, Movement Disorders, Nervous System Diseases, Plasmapheresis, Sensation, Spinal Cord Diseases, Time Factors, Human T-lymphotropic virus 1
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