Postpartum Exacerbation of HTLV-I Associated Myelopathy/Tropical Spastic Paraparesis Followed by an Episode of Painless Thyroiditis.
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概要
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A 28-year-old woman noticed a progressive gait disturbance after her first delivery. At the age of 32, the gait disturbance improved during her second pregnancy, but became worse after delivery and eventually resulted in a scissoring gait. At the age of 34, she became transiently thyrotoxic and was diagnosed as having painless thyroiditis and HTLV-I associated myelopathy/tropical spastic paraparesis (HAM/TSP). The findings of this case suggest that the postpartum exacerbation of HAM/TSP was probably due to a rebound phenomenon after immunosuppression during pregnancy, and that the immunological abnormalities associated with HAM/TSP might have played some role in the development of painless thyroiditis.(Internal Medicine 33: 703-705, 1994)
著者
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Sato Kaori
The Second Department Of Internal Medicine Kyushu University
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Kuroda Takeo
The Second Department Of Internal Medicine Kyushu University
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MIZOKAMI Tetsuya
the Second Department of Internal Medicine Kyushu University
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OKAMURA Ken
the Second Department of Internal Medicine Kyushu University
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Fujishima Masatoshi
The Second Department Of Internal Medicine Faculty Of Medicine Kyushu University
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MIZOKAMI Tetsuya
The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University
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KURODA Takeo
The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University
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ITOYAMA Yasuto
The Department of Neurology, Neurological Institute, Kyushu University
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