Adult T Cell Leukemia (ATL) with an Acute Transformation from Smoldering Type to Lymphoma Type

Abstract

We treated a 61-year-old man with smoldering adult T cell leukemia (ATL) who had variable skin lesions, such as erythroderma, indurated erythema, and generalized erosions. Seventeen months after the onset, lymphoma type ATL occurred. The skin lesion was a diffuse pigmentation when diagnosed as the lymphoma type. In each subtype of ATL, suitable treatments (topic and systemic steroids, α interferon and VEPA therapy and so on) lead to a partial remission. The patient is being closely followed outpatient division at the present time.