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Letter to the Editor
Human T cell lymphotropic virus type I associated uveitis in a child
  1. SHIGEKI KATAKURA
  1. Division of Pediatric Rheumatology, Department of Pediatrics
  2. Department of Ophthalmology, Yokohama City University School of Medicine
  3. Division of Pediatric Rheumatology, Department of Pediatrics
  4. Department of Ophthalmology, Yokohama City University School of Medicine
  5. Division of Pediatric Rheumatology, Department of Pediatrics
  1. YASUHITO IIJIMA
  1. Division of Pediatric Rheumatology, Department of Pediatrics
  2. Department of Ophthalmology, Yokohama City University School of Medicine
  3. Division of Pediatric Rheumatology, Department of Pediatrics
  4. Department of Ophthalmology, Yokohama City University School of Medicine
  5. Division of Pediatric Rheumatology, Department of Pediatrics
  1. TOMOYUKI IMAGAWA,
  2. ETSUROU TOKUHIRO
  1. Division of Pediatric Rheumatology, Department of Pediatrics
  2. Department of Ophthalmology, Yokohama City University School of Medicine
  3. Division of Pediatric Rheumatology, Department of Pediatrics
  4. Department of Ophthalmology, Yokohama City University School of Medicine
  5. Division of Pediatric Rheumatology, Department of Pediatrics
  1. SATOSHI NAKAMURA,
  2. KAZUROH YABUKI,
  3. JUNICHI YONEMOTO,
  4. SHIGEAKI OHNO
  1. Division of Pediatric Rheumatology, Department of Pediatrics
  2. Department of Ophthalmology, Yokohama City University School of Medicine
  3. Division of Pediatric Rheumatology, Department of Pediatrics
  4. Department of Ophthalmology, Yokohama City University School of Medicine
  5. Division of Pediatric Rheumatology, Department of Pediatrics
  1. SHUMPEI YOKOTA
  1. Division of Pediatric Rheumatology, Department of Pediatrics
  2. Department of Ophthalmology, Yokohama City University School of Medicine
  3. Division of Pediatric Rheumatology, Department of Pediatrics
  4. Department of Ophthalmology, Yokohama City University School of Medicine
  5. Division of Pediatric Rheumatology, Department of Pediatrics
  1. S Yokota, MD, Department of Pediatrics, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236, Japan.

https://doi.org/10.1136/bjo.81.11.1016

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    Editor,—Human T cell lymphotropic virus type I (HTLV-I) has been shown to cause two systemic diseases: a haematological malignancy termed adult T cell leukaemia/lymphoma (ATL)1 and a chronic progressive neurological disease, known as HTLV-I associated myelopathy or tropical spastic paraparesis (HAM/TSP).23 Among HTLV-I infected individuals, a certain type of uveitis has been reported,4 which responds to corticosteroids and visual outcome is usually favourable.5 Although perinatal virus transmission occurs frequently via breast feeding and saliva,6 the HTLV-I seroprevalence increases with age.4 We report here a child with severe HTLV-I associated uveitis (HAU).

    CASE REPORT

    A 12-year-old girl was admitted with abrupt onset of blurred vision and decreased visual acuity in the right eye. Her visual acuity was right eye, 0.02 and left eye, 0.8. Ocular examination revealed vitreous and retinal haemorrhages in the right eye and scarred retinal vasculitis in the left eye. …

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