• 1.

    Gessain A, Cassar O, 2012. Epidemiological aspects and world distribution of HTLV-1 Infection. Front Microbiol 3: 388.

  • 2.

    Miyashiro D, Sanches JA, 2020. Cutaneous manifestations of adult T-cell leukemia/lymphoma. Semin Diagn Pathol 37: 8191.

  • 3.

    Phillips AA, Harewood JCK, Adult T, 2018. Cell leukemia-lymphoma (ATL): state of the art. Curr Hematol Malig Rep 13: 300307.

  • 4.

    Tsukasaki K, Marçais A, Nasr R, Kato K, Fukuda T, Hermine O, Bazarbachi A, 2020. Diagnostic approaches and established treatments for adult T cell leukemia lymphoma. Front Microbiol 11: 1207.

    • Search Google Scholar
    • Export Citation
  • 5.

    Katsuya H, Ishitsuka K, 2017. Treatment advances and prognosis for patients with adult T-cell leukemia-lymphoma. J Clin Exp Hematop 57: 8797.

    • Search Google Scholar
    • Export Citation
  • 6.

    Okoye AE, Ibegbulam OG, Onoh RC, Ugwu NI, Anigbo CS, Nonyelu CE, 2015. Seroprevalence of human T-cell lymphoma/leukemia virus type-1 (HTLV-1) antibodies among blood donors at Enugu, Nigeria. J Blood Med 6: 3136.

    • Search Google Scholar
    • Export Citation
  • 7.

    European Centre for Disease Prevention and Control , 2015. Geographical Distribution of Areas with a High Prevalence of HTLV-1 Infection. Stockholm, Sweden: ECDC.

    • Search Google Scholar
    • Export Citation
  • 8.

    Dantas L, Netto E, Glesby MJ, Carvalho EM, Machado P, 2014. Dermatological manifestations of individuals infected with human T cell lymphotropic virus type I (HTLV-I). Int J Dermatol 53: 10981102.

    • Search Google Scholar
    • Export Citation
  • 9.

    Bittencourt AL, de Oliveira Mde F, 2010. Cutaneous manifestations associated with HTLV-1 infection. Int J Dermatol 49: 10991110.

  • 10.

    Nascimento MC, Primo J, Bittencourt A, Siqueira I, de Fátima Oliveira M, Meyer R, Schriefer A, Santos SB, Carvalho EM, 2009. Infective dermatitis has similar immunological features to human T lymphotropic virus-type 1-associated myelopathy/tropical spastic paraparesis. Clin Exp Immunol 156: 455462.

    • Search Google Scholar
    • Export Citation
  • 11.

    Primo JR, Brites C, Oliveira Mde F, Moreno-Carvalho O, Machado M, Bittencourt AL, 2005. Infective dermatitis and human T cell lymphotropic virus type 1-associated myelopathy/tropical spastic paraparesis in childhood and adolescence. Clin Infect Dis 41: 535541.

    • Search Google Scholar
    • Export Citation
  • 12.

    Hlela C, Bittencourt A, 2014. Infective dermatitis associated with HTLV-1 mimics common eczemas in children and may be a prelude to severe systemic diseases. Dermatol Clin 32: 237248.

    • Search Google Scholar
    • Export Citation
  • 13.

    Marçais A, Suarez F, Sibon D, Frenzel L, Hermine O, Bazarbachi A, 2013. Therapeutic options for adult T-cell leukemia/lymphoma. Curr Oncol Rep 15: 457464.

    • Search Google Scholar
    • Export Citation
  • 14.

    Bazarbachi A et al., 1999. Arsenic trioxide and interferon-alpha synergize to induce cell cycle arrest and apoptosis in human T-cell lymphotropic virus type I-transformed cells. Blood 93: 278283.

    • Search Google Scholar
    • Export Citation
  • 15.

    Pasquier A et al., 2018. How to control HTLV-1-associated diseases: preventing de novo cellular infection using antiviral therapy. Front Microbiol 9: 278.

    • Search Google Scholar
    • Export Citation
  • 16.

    Imaizumi Y et al., 2020. Prognosis of patients with adult T-cell leukemia/lymphoma in Japan: a nationwide hospital-based study. Cancer Sci 111: 45674580.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 611 372 19
Full Text Views 79 33 3
PDF Downloads 85 37 2
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Case Report: Atypical Cutaneous Presentation of Human T-cell Lymphotropic Virus Type 1-Related Adult T-cell Lymphoma

Gianluca AvalloneDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Gianluca Avallone in
Current site
Google Scholar
PubMed
Close
,
Mattia TrunfioUnit of Infectious Diseases, Department of Medical Sciences, University of Turin at the Amedeo di Savoia Hospital, ASL Città di Torino, Turin, Italy;

Search for other papers by Mattia Trunfio in
Current site
Google Scholar
PubMed
Close
,
Luca MastorinoDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Luca Mastorino in
Current site
Google Scholar
PubMed
Close
,
Andrea AgostiniDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Andrea Agostini in
Current site
Google Scholar
PubMed
Close
,
Martina MerliDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Martina Merli in
Current site
Google Scholar
PubMed
Close
,
Marco RubattoDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Marco Rubatto in
Current site
Google Scholar
PubMed
Close
,
Daniele CaraccioloDivision of Haematology, Department of Oncology, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Presidio Molinette, Torino, Italy;

Search for other papers by Daniele Caracciolo in
Current site
Google Scholar
PubMed
Close
,
Andrea CalcagnoUnit of Infectious Diseases, Department of Medical Sciences, University of Turin at the Amedeo di Savoia Hospital, ASL Città di Torino, Turin, Italy;

Search for other papers by Andrea Calcagno in
Current site
Google Scholar
PubMed
Close
,
Rebecca SenettaDepartment of Oncology, Pathology Unit, University of Turin, Turin, Italy

Search for other papers by Rebecca Senetta in
Current site
Google Scholar
PubMed
Close
,
Maria Teresa FierroDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Maria Teresa Fierro in
Current site
Google Scholar
PubMed
Close
,
Pietro QuaglinoDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Pietro Quaglino in
Current site
Google Scholar
PubMed
Close
, and
Simone RiberoDermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy;

Search for other papers by Simone Ribero in
Current site
Google Scholar
PubMed
Close
View More View Less
Restricted access

ABSTRACT.

Human T-cell lymphotropic virus type 1 (HTLV-1) is a retrovirus endemic in many parts of the world. Because of migration, cases of HTLV-1 in non-HTLV-1 endemic countries have been increasingly reported. Clinical presentation of HTLV-1 infection is highly variable, with a significant risk of diagnostic delays. Skin can be the first site affected by HTLV-1-related manifestations such as cutaneous involvement of adult T-cell leukemia/lymphoma (ATLL) and infective dermatitis associated with HTLV-1. A 32-year-old Nigerian man was admitted to the infectious disease department for high fever, asthenia, lymphocytosis, and vesicular bullous lesions on both hand palms and lower limbs. After clinical work-up was performed, bacterial superinfected herpes simplex viurs-2 ulcers were the presenting sign of HTLV-1-related chronic type ATLL. Standard treatment based on interferon-α plus zidovudine was started, but it was poorly tolerated; therefore, switching to an off-label dual antiretroviral regimen was attempted. The increasing prevalence of HTLV-1 in nonendemic areas may enhance the development of alternative treatments with better efficacy and tolerability profiles.

Author Notes

Address correspondence to Gianluca Avallone, Section of Dermatology, Department of Medical Sciences, University of Turin, Via Cherasco 23, 10121, Turin, Italy. E-mail: gianluca.avallone2@gmail.com

These authors contributed equally to this article and share first authorship. ‡These authors contributed equally to this article and share senior authorship.

Authors’ addresses: Gianluca Avallone, Luca Mastorino, Andrea Agostini, Martina Merli, Marco Rubatto, Maria Teresa Fierro, Pietro Quaglino, and Simone Ribero, Dermatology Clinic, Department of Medical Sciences University of Turin, Turin, Italy, E-mails: gianluca.avallone2@gmail.com, lucamastorino02@gmail.com, andrea93.agostini@gmail.com, martinamerli93@gmail.com, rubattomarco@gmail.com, pietro.quaglino@unito.it, mariateresa.fierro@unito.it, and simone.ribero@unito.it. Mattia Trunfio and Andrea Calcagno, Unit of Infectious Diseases, Department of Medical Sciences, University of Turin at the “Amedeo di Savoia” Hospital, ASL “Città di Torino”, Turin, Italy, E-mails: mattia.trunfio@edu.unito.it and andrea.calcagno@unito.it. Daniele Caracciolo, Division of Haematology, Department of Oncology, A.O.U. Città della Salute e della Scienza di Torino, Presidio Molinette, Torino, Italy, E-mail: dcaracciolo@cittadellasalute.to.it. Rebecca Senetta, Department of Oncology, Pathology Unit, University of Turin, Turin, Italy, E-mail: rebesenetta@gmail.com.

Save