Infection of human T-cell leukemia virus type I and development of human T-cell leukemia lymphoma in patients with hematologic neoplasms: a possible linkage to blood transfusion. NLM AIDSLINE Important note: Information in this article was accurate in 1989. The state of the art may have changed since the publication date.

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Infection of human T-cell leukemia virus type I and development of human T-cell leukemia lymphoma in patients with hematologic neoplasms: a possible linkage to blood transfusion.

Blood. 1989 Jul;74(1):388-94. Unique Identifier : AIDSLINE MED/89323366
Chen YC; Wang CH; Su IJ; Hu CY; Chou MJ; Lee TH; Lin DT; Chung TY; Liu CH; Yang CS; Department of Laboratory Medicine, National Taiwan University; Medical School, Taipei, Republic of China.


Abstract: Among 354 adult patients with either hematological malignancy or aplastic anemia, eight were positive for anti-HTLV-I antibodies; six of eight had received multiple transfusions. There was an approximately 3.5-fold increase (P less than .001) of HTLV-I seropositivity in the patients with hematologic disease (8 of 354, 2.23%) compared to the healthy adults older than 20 years (34 of 5252, .65%). Two hematological patients, one with Hodgkin's disease and one with acute promyelocytic leukemia, were found to be positive for HTLV-I, and developed and died of adult T-cell leukemia/lymphoma (ATL) subsequently. Both were long-term survivors of the primary disease and had received multiple transfusions. The latent period from blood transfusion to onset of ATL was 6 months and 11 years, respectively. Immunocompromised patients, who were seropositive for HTLV-I, may be at increased risk for ATL compared to healthy carriers of HTLV-I, and the latent period may be shorter.
Keywords: Antibodies, Viral/ANALYSIS Blood Transfusion Blotting, Southern Case Report DNA, Neoplasm/GENETICS DNA, Viral/GENETICS Female Human HTLV-I/IMMUNOLOGY Leukemia/*COMPLICATIONS/THERAPY Leukemia-Lymphoma, T-Cell, Acute, HTLV-I-Associated/*MICROBIOLOGY Lymphoma/*COMPLICATIONS/THERAPY Male Support, Non-U.S. Gov't Time Factors JOURNAL ARTICLE

KWDantibodies,viral/analysisbloodtransfusionblotting,southerncasereportdna,neoplasm/geneticsdna,viral/geneticsfemalehumanhtlv-i/immunologyleukemia/KWDcomplications/therapyleukemia-lymphoma,t-cell,acute,htlv-i-associated/KWDmicrobiologylymphoma/KWDcomplications/therapymalesupport,non-uKWDsKWDgov'ttimefactorsjournalarticle
891130
M89B0537


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