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Is Crusted (Norwegian) Scabies a Marker of Adult T Cell Leukemia/Lymphoma in Human T Lymphotropic Virus Type I-Seropositive Patients?

Pascal del Giudice, Dominique Sainte Marie, Yann Gérard, Pierre Couppié and Roger Pradinaud
The Journal of Infectious Diseases
Vol. 176, No. 4 (Oct., 1997), pp. 1090-1092
Published by: Oxford University Press
Stable URL: http://www.jstor.org/stable/30107601
Page Count: 3
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Is Crusted (Norwegian) Scabies a Marker of Adult T Cell Leukemia/Lymphoma in Human T Lymphotropic Virus Type I-Seropositive Patients?
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Abstract

Human T cell lymphotropic virus type I (HTLV-I)-induced immunosuppression has been suggested to explain the occurrence of crusted scabies in HTLV-I-infected patients. HTLV-I is the etiologic agent of adult T cell leukemia/lymphoma (ATL). Crusted scabies diagnosed in 6 HTLV- I-seropositive patients was studied to look for an association with ATL. Four of the 6 either had concomitant ATL when crusted scabies was diagnosed or developed ATL a few months later. These findings suggest that the occurrence of crusted scabies in patients seropositive for HTLV-I could represent a sign of marked immunosuppression related to ATL.

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