Adult T-cell Leukemia Accompanied by Typical Diffuse Gastroduodenal and Small Intestinal Lesions, Report of a Case Sadamune Hatakeyama 1,2 , Toshiyuki Matsui 2 , Tsuneyoshi Yao 2 1Department of Internal Medicine, Saiseikai Futsukaichi Hospital 2Department of Gastroenterology, Fukuoka University Chikushi Hospital Keyword: 成人T細胞性白血病 , 消化管病変 , 十二指腸 pp.1457-1462
Published Date 1994/12/25
DOI https://doi.org/10.11477/mf.1403106030
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A 34-year-old man was admitted to our hospital complaining of epigastric pain and abdominal distension. Swollen superficial lymph nodes and marked hepatosplenomegaly were palpated. Laboratory examination revealed leukocytosis with atypical lymphocytosis and elevated serum calcium and LDH. Upper gastrointestinal endoscopy showed mild erosions in the stomach and several reddish flat eletated lesions (Ⅱa+Ⅱc-like)in the bulb and the second portion of the duodenum. Radiologically, small and flat elevated lesions with central depression were recognized from the jejunum to the ileum. A solitary ulceration with irregular margin was detected near the terminal ileum. These peculiar lesions were considered to be the distinguishing features of the duodenal invasion of adult T-cell leukemia.

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