title: Adult T cell leukemia clinically manifested with ascites and pleural effusion.
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 (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.
authors.affiliation: Division of Internal Medicine, Oita City Medical Association's Almeida Memorial Hospital.
authors.forename: Y
authors.initials: Y
authors.lastname: Saburi
authors.forename: T
authors.initials: T
authors.lastname: Inage
authors.forename: K
authors.initials: K
authors.lastname: Ohtsuka
authors.forename: T
authors.initials: T
authors.lastname: Nagai
authors.forename: T
authors.initials: T
authors.lastname: Ishii
authors.forename: M
authors.initials: M
authors.lastname: Nishimiya
authors.forename: K
authors.initials: K
authors.lastname: Matsunaga
authors.forename: S
authors.initials: S
authors.lastname: Miyazaki
authors.forename: A
authors.initials: A
authors.lastname: Moriuchi
authors.forename: H
authors.initials: H
authors.lastname: Fujii
mesh_terms: D001201:Ascites / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D015458:Leukemia, T-Cell / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology*