Document Detail


KL-6 as an indicator for lymphocytic interstitial pneumonia (LIP) in a human T-lymphotrophic virus type 1 (HTLV-1) carrier.
MedLine Citation:
PMID:  12224007     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 59-year-old woman was admitted to our hospital complaining of a productive cough, dyspnea on effort, and low-grade fever. Although chest X-rays showed no marked abnormalities, her level of serum KL-6 was extremely high. We therefore suspected the presence of interstitial pneumonia. High-resolution computed tomography (CT) scan revealed infiltrative shadows in S6 of the right lung, and her serum was positive for antihuman T-lymphotropic virus type 1 (HTLV-1) antibodies. From the clinical symptoms, radiographic findings, and histological findings, the diagnosis was probable lymphocytic interstitial pneumonia (LIP). After high-dose corticosteroid therapy, the level of serum KL-6 decreased rapidly. We conclude that KL-6 is a convenient and reliable marker for evaluating the activity of pulmonary manifestations in HTLV-1 carriers and that it is especially useful in monitoring the effectiveness of treatments.
Authors:
N Ishikawa; Y Awaya; H Maeda; M Miyazaki; K Fujitaka; M Yamasaki; K Kondo; T Oguri; T Isobe; N Kohno
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2002-07-31
Journal Detail:
Title:  Annals of hematology     Volume:  81     ISSN:  0939-5555     ISO Abbreviation:  Ann. Hematol.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-11     Completed Date:  2002-12-05     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9107334     Medline TA:  Ann Hematol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  474-7     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Hiroshima University Faculty of Medicine, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Antigens
Antigens, Neoplasm
Biological Markers / blood
Carrier State
Female
Glycoproteins
HTLV-I Antibodies / blood
HTLV-I Infections / diagnosis*,  immunology
Humans
Lung / pathology
Lung Diseases, Interstitial / complications,  diagnosis*,  drug therapy,  pathology
Middle Aged
Mucin-1
Mucins
Tomography, X-Ray Computed
Trachea / pathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Antigens; 0/Antigens, Neoplasm; 0/Biological Markers; 0/Glycoproteins; 0/HTLV-I Antibodies; 0/MUC1 protein, human; 0/Mucin-1; 0/Mucins

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