Adult T Cell Leukemia Clinically Manifested with Ascites and Pleural Effusion

Yoshio SABURI; Tsuyoshi INAGE; Kaoru OHTSUKA; Takayuki NAGAI; Takanori ISHII; Minoru NISHIMIYA; Ken-ichi MATSUNAGA; Shigetake MIYAZAKI; Akira MORIUCHI; Hiroyuki FUJII; Yoshiko SONODA; Kumato MIFUNE; Hiroshi KIKUCHI; Masaru NASU

doi:10.2169/internalmedicine.34.815

Yoshio SABURI, Tsuyoshi INAGE, Kaoru OHTSUKA, Takayuki NAGAI, Takanori ISHII, Minoru NISHIMIYA, Ken-ichi MATSUNAGA, Shigetake MIYAZAKI, Akira MORIUCHI, Hiroyuki FUJII, Yoshiko SONODA, Kumato MIFUNE, Hiroshi KIKUCHI, Masaru NASU

Author information

Yoshio SABURI
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Tsuyoshi INAGE
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Kaoru OHTSUKA
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Takayuki NAGAI
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Takanori ISHII
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Minoru NISHIMIYA
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Ken-ichi MATSUNAGA
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Shigetake MIYAZAKI
the Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital
Akira MORIUCHI
the Division of Pathology, Oita City Medical Association's Almeida Memorial Hospital
Hiroyuki FUJII
the Department of Microbiology, Oita Medical University
Yoshiko SONODA
the Department of Microbiology, Oita Medical University
Kumato MIFUNE
the Department of Microbiology, Oita Medical University
Hiroshi KIKUCHI
the Second Department of Internal Medicine, Oita Medical University
Masaru NASU
the Second Department of Internal Medicine, Oita Medical University

Keywords: HTLV-I, monoclonal integration

JOURNAL FREE ACCESS

1995 Volume 34 Issue 8 Pages 815-818

DOI https://doi.org/10.2169/internalmedicine.34.815

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Abstract

A 62-year-old man with adult T cell leukemia (ATL) presented with complaints of anorexia and abdominal fullness. Evaluation revealed ascites and pleural effusion, but no lymph node swelling, hepatosplenomegaly, or skin involvement. The diagnosis of ATL was made by the detection of specific surface markers for T lymphocytes in pleural effusion and ascitic fluid, and by determination of human T cell leukemia virus type I (HTL V-I) proviral DNA integration in mononuclear cells of pleural effusion. This case was considered a rare type of ATL with infiltration of the pleura and peritoneum.
(Internal Medicine 34: 815-818, 1995)

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