抄録
We reported a case of smoldering adult T-cell leukemia. The patient had been suffered from Raynaud phenomenon, cutaneous sclerosis, lymphadenopathy and abdominal fullness in March 1983, and was thought as a kind of collagen diseases, for example, PSS. Eight months later, about 10% atypical cells (so called flower cells) appeared in her peripheral blood. Antibody to ATLA and proviral DNA of HTLV-I were positive at that time. From these data, she was diagnosed as ATL. In September 1984, a crisis occurred, and she died of pneumonia in January 1985, in spite of 4-course VEPA therapy. The autopsy was not done. And herpes zoster and controllable diabetes inspidus occurred in the course.