軟口蓋の難治性潰瘍を契機に発見されたATLの1例 A case of adult T-cell leukemia with ulceration of the soft palate as an early symptom

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著者

    • 管野 貴浩 KANNO Takahiro
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College
    • 船木 勝介 FUNAKI Katsuyuki
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College
    • 高野 裕史 [他] TAKANO Hiroshi
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College
    • 山内 健介 YAMAUCHI Kensuke
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College
    • 菅崎 紳 KANZAKI Shin
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College
    • 高橋 哲 TAKAHASHI Tetsu
    • 九州歯科大学生体機能科学専攻口腔顎顔面外科学講座形態機能再建学分野 Division of Oral and Maxillofacial Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, Kyushu Dental College

抄録

A case of chronic type adult T-cell leukemia (ATL) with initial oral lesions in a 68-year-old woman is reported. She was referred to us because of ulceration of the left side of the soft palate and had difficulty in swallowing due to severe contact pain. The initial clinical diagnosis was severe ulcerative stomatitis. After treatment, herpetic stomatitis was followed by a fever and general weakness. Immunological blood examinations revealed positive anti-ATL, abnormal T lymphocytes (so-called flower cells), and the polyclonal integration of human T-cell leukemia virus type 1 (HTLV-1) provirus DNA. At this time, ATL was diagnosed. The initial oral lesions were subsequently thought to be an initial symptom closely associated with immune suppression caused by ATL.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(10), 516-519, 2005-10-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018954517
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7708894
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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