Document 0700
 DOCN  M9550700
 TI    Postpartum exacerbation of HTLV-I associated myelopathy/tropical spastic
       paraparesis followed by an episode of painless thyroiditis.
 DT    9505
 AU    Mizokami T; Okamura K; Sato K; Kuroda T; Itoyama Y; Fujishima M; Second
       Department of Internal Medicine, Faculty of Medicine,; Kyushu
       University, Fukuoka.
 SO    Intern Med. 1994 Nov;33(11):703-5. Unique Identifier : AIDSLINE
       MED/95152156
 AB    A 28-year-old woman noticed a progressive gait disturbance after her
       first delivery. At the age of 32, the gait disturbance improved during
       her second pregnancy, but became worse after delivery and eventually
       resulted in a scissoring gait. At the age of 34, she became transiently
       thyrotoxic and was diagnosed as having painless thyroiditis and HTLV-I
       associated myelopathy/tropical spastic paraparesis (HAM/TSP). The
       findings of this case suggest that the postpartum exacerbation of
       HAM/TSP was probably due to a rebound phenomenon after immunosuppression
       during pregnancy, and that the immunological abnormalities associated
       with HAM/TSP might have played some role in the development of painless
       thyroiditis.
 DE    Adult  Case Report  Female  Human  Japan/EPIDEMIOLOGY  Paraparesis,
       Tropical Spastic/*DIAGNOSIS/EPIDEMIOLOGY/IMMUNOLOGY  Pregnancy
       Pregnancy Complications, Infectious/*DIAGNOSIS/IMMUNOLOGY/  VIROLOGY
       Prevalence  Puerperal Disorders/*DIAGNOSIS/IMMUNOLOGY/VIROLOGY
       Thyroiditis/*DIAGNOSIS/IMMUNOLOGY  JOURNAL ARTICLE

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