Adult T-cell leukemia-lymphoma in a patient with HTLV-I/II associated myelopathy.

Chronic myelopathy associated with T-lymphotropic virus type I (HAM) has been described as an endemic disease in several areas of the world, meanwhile there are few papers describing the association between HAM and adult T cell leukemia-lymphoma. We report the case of a man that, after four years of progressive spastic paraparesis and neurogenic bladder, developed a clinical picture of a lymphoproliferative disorder characterized by dermal and systemic involvement, mimicking mycosis fungoides/Sézary syndrome.