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REUTERS THOMSON

Guillain-Barré-like Syndrome, as a Rare Presentation of Adult T-cell Leukemia-Lymphoma (ATLL): A Case Report

AUTHORS

Payam sasannejad 1 , * , Mahmoud Reza Azarpazhooh 1 , Hossein Rahimi 2 , Amir Moghaddam Ahmadi 1 , Ali Mellat Ardakani 1 , Hamid Reza Saber 3

AUTHORS INFORMATION

1 Department of Neurology, Mashhad University of Medical Sciences, Mashhad, IR Iran

2 Department of Hematology, Mashhad University of Medical Sciences, Mashhad, IR Iran

3 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

How to Cite: sasannejad P, Azarpazhooh M R, Rahimi H, Moghaddam Ahmadi A, Mellat Ardakani A, et al. Guillain-Barré-like Syndrome, as a Rare Presentation of Adult T-cell Leukemia-Lymphoma (ATLL): A Case Report, Iran Red Crescent Med J. 2012 ; 14(8):e95956.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 14 (8); e95956
Published Online: August 31, 2012
Article Type: Case Report
Received: July 03, 2019
Accepted: August 31, 2012

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Abstract

We report a 21-year-old woman who was admitted because of unilateral facial paresis and then developed progressive ascending flaccid tetraparesis with generalized areflexia. Electrodiagnostic studies revealed acute motor axonal polyradiculoneuropathy (AMAN type of Guillain-Barré Syndrome). Further evaluations revealed severe leukocytosis, increased erythrocyte sedimentation rate (ESR), increased protein content and presence of a few lymphocytes in cerebrospinal fluid (CSF), and then presence of human T-cell lymphotropic virus type 1 (HTLV-I) in serum and CSF. Finally, biopsy of the enlarged lymph nodes resulted in the diagnosis of Adult T-cell Leukemia-Lymphoma. The HTLV-1 has been endemic to certain parts of Iran like Khorasan province in the northeast since 1985 with 2.3% prevalence rate of infection. Thus, some rare neurologic complications occasionally occur in this area as a result of being infected with HTLV-1. 

Keywords

Guillain-Barré Syndrome Human T-lymphotropic virus 1 Leukemia-Lymphoma Adult T-Cell

© 2012, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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