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Tuesday, January 17, 2006

A 56-year-old African-American male with a history of human T-lymphotrophic virus (HTLV I) and tropical spastic paraparesis was being worked up for possible osteomyelitis associated with several long-standing sacral decubitus ulcers when several incidental masses were found within his pelvis.


1.1 All of the following concerning human T-lymphotrophic virus (HTLV-I) infection are true EXCEPT:
A Cumulative lifetime risk of developing adult T-cell leukemia or lymphoma (ATL) is 2%-5% among HTLV-I infected individuals.
B HTLV-I, HTLV-II, HIV-I, and HIV-II all belong to the retroviral family.
C HTLV-I was first isolated in 1980 from a T-cell lymphoma cell line from a patient originally thought to have cutaneous T-cell lymphoma.
D The progressive spastic or ataxic myelopathy that develops in an individual who is HTLV-I-positive is most commonly due to leptomeningeal involvement.
E HTLV-I is endemic in southwestern Japan and Okinawa, where more than 1 million persons are infected and antibodies to HTLV-I are present in the serum of up to 35% of Okinawans.
 


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