2014
DOI: 10.5858/arpa.2012-0379-rs
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Adult T-Cell Leukemia/Lymphoma

Abstract: Adult T-cell leukemia/lymphoma is a rare mature CD4+ T-cell neoplasm caused by the retrovirus human T-lymphotrophic virus type 1. At present there are approximately 20 million people infected globally with this virus, and most of these individuals belong to the endemic areas in southern Japan, Africa, the Caribbean basin, and Latin America. In the United States, it is usually seen in immigrants from these endemic regions. Adult T-cell leukemia/lymphoma predominantly affects the adult population and is rare in … Show more

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Cited by 51 publications
(51 citation statements)
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References 33 publications
(76 reference statements)
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“…Human T‐cell Lymphotropic Virus type 1 can be transmitted through mother‐to‐child transmission (MTCT), mainly by breastfeeding; sexually or via blood. ATLL occurs mostly in adults, at least 20–30 years after the HTLV‐1 infection, mainly in those infected in childhood, and it seldom arises in those infected in adulthood . Consistently – although there are some reported cases of ATLL associated with sexual transmission or blood transfusion – several studies have shown that most cases of ATLL develop in individuals who were infected with HTLV‐1 as young children via breastfeeding .…”
Section: Introductionmentioning
confidence: 93%
“…Human T‐cell Lymphotropic Virus type 1 can be transmitted through mother‐to‐child transmission (MTCT), mainly by breastfeeding; sexually or via blood. ATLL occurs mostly in adults, at least 20–30 years after the HTLV‐1 infection, mainly in those infected in childhood, and it seldom arises in those infected in adulthood . Consistently – although there are some reported cases of ATLL associated with sexual transmission or blood transfusion – several studies have shown that most cases of ATLL develop in individuals who were infected with HTLV‐1 as young children via breastfeeding .…”
Section: Introductionmentioning
confidence: 93%
“…A high prevalence of carriers is reported in Japan (particularly on its southeastern Pacific coast), sub-Saharan Africa, northeastern South Africa, and the Caribbean islands. The annual incidence among carriers is known to be low, and it is 1.5/1,000 (men) and 0.5/1,000 (woman), and the cumulative life-long risk of ATLL is 2.5% (Yamaguchi 1994;Yamaguchi and Watanabe 2002;Qayyum and Choi 2014).…”
Section: Introductionmentioning
confidence: 99%
“…Clinical features include lymphadenopathy (60%), hepatomegaly (26%), splenomegaly (22%), skin lesions (39%), and hypercalcemia (32%). Bone changes are seen in patients with acute type (Yamaguchi 1994;Yamaguchi and Watanabe 2002;Qayyum and Choi 2014).…”
Section: Introductionmentioning
confidence: 99%
“…Adult T‐cell Leukemia/lymphoma (ATLL) is a rare and often aggressive T cell leukemia/lymphoma that can be found in the blood, lymph nodes, and multiple areas of the body. ATLL has been linked to infection by the human T‐cell lymphotropic virus type 1 (HTLV‐1) . HTLV‐1 is endemic in Southern Japan, Africa, Caribbean regions, and Latin America.…”
mentioning
confidence: 99%