Document 3181 DOCN M94A3181 TI Tropical spastic paraparesis and HTLV-I infection on the Caribbean Coast of Colombia. DT 9412 AU Pareja J; Daza J; Boshell J; Rojas MC; Gonzalez M; Marrugo S; Mc Allister; Navas MC; Jeannel D; Universidad de Cartagena. SO Int Conf AIDS. 1994 Aug 7-12;10(1):134 (abstract no. PA0154). Unique Identifier : AIDSLINE ICA10/94369394 AB OBJECTIVE: To assess the presence of clinical cases of Tropical Spastic Paraparesis/Human Associated Myelopathy (TSP/HAM) and serological evidence of HTLV-I infection on the Caribbean Coast of Colombia with a population of african ancestry. METHODS: We reviewed the clinical records of all patients with chronic neurological disorders at the University Hospital of Cartagena during the las 10 years. We also tested 365 serum samples from the serum bank of the Colombian National Institute of Healt for the presence of HTLV-I antibodies by ELISA and Western Blot (WB). The samples selected had been collected for dengue surveillance on the caribbean coast of the country. RESULTS: In the UCH 7 cases of clinical TSP/HAM were recognised in a 10 year period, 3 females and 4 males aged 28 to 61 years. No HTLV-I serology has been performed but these patients are at present being studied to confirm the diagnosis. Of the 365 sera assayd for HTLV-I antibodies, two were found positive by ELISA and WB. DISCUSSION: These results indicate that TSP/HAM is not as frequient in population of the Caribbean Coast of Colombia as reported on the Colombian Pacific Coast, both inhibited by black people or mestizos. In addition, we demonstrated the presence of HTLV-I on the Caribbean Coast of Colombia. DE Adult Africa/ETHNOLOGY Blotting, Western Colombia/EPIDEMIOLOGY Enzyme-Linked Immunosorbent Assay Female Human HTLV-I Antibodies/*BLOOD HTLV-I Infections/DIAGNOSIS/*EPIDEMIOLOGY Male Medical Records Middle Age Paraparesis, Tropical Spastic/DIAGNOSIS/*EPIDEMIOLOGY Prevalence Retrospective Studies MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).