1985 Volume 27 Issue 11 Pages 2352-2356_1
A 70-year-old man was born at Kakidomari-machi in Nagasaki-city, was hospitalized for treatment of watery diarrhea. Barium-enema examination of colon and colonofiber-scopic findings showed diffuse edematous lesions, "elevated as gyrus of the brain" from rectum to ceacum. Diarrhea was transient. On 60 th hospital day, rectal bleeding appeared, and abnormal T-cells were detected in peripheral blood. Furthermore, swelling of inguinal lymphnode was noticed as well. ATLL was diagnosed by histologically and surface marker analysis with lymphnode biopsy specimen. Diarrhea and rectal bleeding were rare as a manifestation of ATL. ATL with infiltration in gastro-intestinal mucosa was reviewed, and endoscopic findings were discussed.
