PMID- 2766224 OWN - NLM STAT- MEDLINE DCOM- 19890927 LR - 20190619 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 64 IP - 6 DP - 1989 Sep 15 TI - The prevalence of human T-cell leukemia virus type I infection in patients with hematologic and nonhematologic diseases in an adult T-cell leukemia-endemic area of Japan. PG - 1290-5 AB - In order to clarify the prevalence of human T-cell leukemia virus type I (HTLV-I) infection in the Kagoshima district, Japan, a highly endemic area for HTLV-I, antibodies for HTLV-I (anti-HTLV-I) were examined in the sera of 6167 from healthy residents and patients with various hematologic and nonhematologic diseases. In healthy residents, including blood donors, the prevalence of anti-HTLV-I was 11.9% (562/4741 persons). The prevalence increased with age, and was significantly higher in in females than in males (P less than 0.01). The prevalence of anti-HTLV-I in blood donors was 8.5%. In In hematologic diseases, the prevalence of anti-HTLV-I was 98.3% in ATL, 28.9% in lymphoproliferative disorders except ATL, and 10.6% in myeloproliferative disorders. In nonhematologic diseases, the prevalence of anti-HTLV-I was shown to be 29.5% in pulmonary tuberculosis, 25.8% in leprosy, 33.8% in chronic renal failure (CRF), 21.9% in autoimmune diseases, and 47.8% in strongyloidiasis. The various diseases except myeloproliferative disorders had significantly higher prevalence of anti-HTLV-I than healthy residents (P less than 0.01 or 0.05). For autoimmune diseases, the prevalence of anti-HTLV-I in patients with blood transfusion (55.6%) was higher than in those without blood transfusion (8.7%), and healthy residents. In hemodialysis patients with CRF who had received blood transfusions the prevalence of anti-HTLV-I increased with the number of blood transfusions. Therefore, HTLV-I transmission via blood transfusion would partially explain these high prevalence of anti-HTLV-I. However, the prevalence of anti-HTLV-I in hemodialysis patients with CRF was statistically higher than that in healthy residents, regardless of blood transfusion (P less than 0.01). Furthermore, hemodialysis patients showed significantly higher prevalence of anti-HTLV-I than healthy residents, even at a younger age. Patients with pulmonary tuberculosis and leprosy showed the same results as hemodialysis patients. These results suggest that possibility that HTLV-I infection has some relation not only to ATL but also to other diseases. Therefore, it seems very important to halt the spread of HTLV-I transmission as soon as possible. FAU - Hanada, S AU - Hanada S AD - Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University, Japan. FAU - Uematsu, T AU - Uematsu T FAU - Iwahashi, M AU - Iwahashi M FAU - Nomura, K AU - Nomura K FAU - Utsunomiya, A AU - Utsunomiya A FAU - Kodama, M AU - Kodama M FAU - Ishibashi, K AU - Ishibashi K FAU - Terada, A AU - Terada A FAU - Saito, T AU - Saito T FAU - Makino, T AU - Makino T AU - et al. LA - eng PT - Journal Article PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Donors MH - Blood Transfusion MH - Female MH - HTLV-I Infections/complications/*epidemiology MH - Hematologic Diseases/complications MH - Humans MH - Japan MH - Leukemia-Lymphoma, Adult T-Cell/*epidemiology MH - Male MH - Middle Aged MH - Renal Dialysis MH - Serologic Tests EDAT- 1989/09/15 00:00 MHDA- 1989/09/15 00:01 CRDT- 1989/09/15 00:00 PHST- 1989/09/15 00:00 [pubmed] PHST- 1989/09/15 00:01 [medline] PHST- 1989/09/15 00:00 [entrez] AID - 10.1002/1097-0142(19890915)64:6<1290::aid-cncr2820640620>3.0.co;2-z [doi] PST - ppublish SO - Cancer. 1989 Sep 15;64(6):1290-5. doi: 10.1002/1097-0142(19890915)64:6<1290::aid-cncr2820640620>3.0.co;2-z.