Manifestaciones cutáneas de enfermedades asociadas a infección por HTLV-1

Se presentan siete casos, cuatro mujeres y tres varones. La edad promedio de los pacientes fue 29,5 anos, incluido un nino. Todos fueron seropositivos a HTLV-l; y, dos de ellos tambien lo fueron para el VIH. Solo en dos casos se planteo inicialmente como posible diagnostico de infeccion por HTLV-l. El diagnostico clinico e histopatologico correspondio a dermatitis infectiva, uno; estrongiloidiasis sistemica, dos; sarna costrosa, dos; leucemia/linfoma de celulas T del adulto, uno; y, una presentacion atipica de carcinoma escamoso infiltrante. Se concluye que existe una baja sospecha clinica inicial de diagnostico de enfermedades sistemicas con manifestaciones cutaneas asociadas a la infeccion por HTLV-l, no obstante, que se realiza la practica medica en un area endemica... Seven cases, four women and three men, are presented. The average age was 29,5 year-old, including a child. All were seropositive to HTLV-l and two of them were also for HN. Only in two cases was initially raised a possible diagnosis of HTLV-l infection. The clinical and histopathological diagnosis corresponded to infective dermatitis, one; systemic strongyloidiasis, two; crusted scabies, two; adult T-cell leukemia/lymphoma, one; and, an atypical presentation of invasive squamous cell carcinoma. lt is concluded that there is a low initial suspicion for clinical diagnosis of cutaneous manifestations of generalized diseases associated to HTLV-l infection despite of we live in an endemic area...