“…One of us had reported the presence of these HTLV-I-associated diseases in patients living in metropolitan France, mainly the Paris area, but originating from French Guiana, and reported the main clinical and immunovirological characteristics (Gessain et al, 1990a(Gessain et al, , 1990b(Gessain et al, , 1990c). An epidemiological study was thus initiated in 1990 to determine the prevalence, incidence, and main clinical characteristics of patients with ATL living in French Guiana .…”