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First Department of Internal Medicine, School of Medicine, and School of Medical Sciences (Dr. Shirakami), The University of Tokushima, Tokushima, Japan.
We report a 42-year-old Japanese woman with HTLV-I-associated myelopathy (HAM) combined with adult T-cell leukemia (ATL). Combination of the 2 diseases has been extremely rare. The infrequency is explained by HLA types unique to each disease. Our patient suggests that the HAM-associated HLA haplotype does not prevent the development of ATL.
Address correspondence and reprint requests to Dr. Kawai, First Department of Internal Medicine, School of Medicine, The University of Tokushima, 3-Kuramoto, Tokushima 770, Japan.
Received January 10, 1989. Accepted for publication in final form March 3, 1989.
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