Human T-lymphotropic virus type I (HTLV-I) was the first retrovirus wh
ich was directly associated with adult T-cell leukemia (ATL). Infectio
n with HTLV-I can also lead to various other diseases, e.g. HTLV-I-ass
ociated myelopathy/tropical spastic paraparesis (HAM/TSP) and HTLV-I u
veitis, possibly via induction of immunodeficiency or hyperreactivity
against HTLV-I-infected cells. Epidemiological data have shown that pa
tients who developed these diseases represent a small percentage of HT
LV-I-infected individuals living in restricted geographical areas. The
identification of HTLV-I-infected individuals using serological and D
NA-diagnostic methods is important because knowledge of HTLV-I seropos
itivity may help to prevent the transmission between sexual partners,
as well as transmission from mother to child and blood transfusion. It
also assists in establishing a diagnosis of ATL, HAM/TSP and other HT
LV-I-associated diseases.