• Internal medicine · Aug 1995

    Case Reports

    Adult T cell leukemia clinically manifested with ascites and pleural effusion.

    • Y Saburi, T Inage, K Ohtsuka, T Nagai, T Ishii, M Nishimiya, K Matsunaga, S Miyazaki, A Moriuchi, and H Fujii.
    • Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital.
    • Intern. Med. 1995 Aug 1; 34 (8): 815-8.

    AbstractA 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 (HTLV-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.

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