{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T04:59:09Z","timestamp":1698037149838},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T00:00:00Z","timestamp":1172793600000},"content-version":"vor","delay-in-days":6575,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hematological Oncology"],"published-print":{"date-parts":[[1989,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adult T\u2010cell leukemia\u2010lymphoma (ATLL) is a distinct clinicopathologic entity etiologically linked to HTLV\u2010I infection. We have identified five cases of retrovirus\u2010associated ATLL among Hawaii\u2010born first generation offspring (nisei) of migrant Japanese. Four patients were offspring of migrant Japanese (issei) who emigrated to Hawaii from Okinawa, an HTLV\u2010I endemic area. The fifth patient was born of parents who emigrated to Hawaii from Fukushima and Miyagi prefectures, HTLV\u2010I nonendemic areas. Epidemiologic implications and family studies with regard to HTLV\u2010I antibody testing of the index cases are discussed. The high rate of HTLV\u2010I antibody seropositivity among family members and relatives indicates that the risk of acquiring HTLV\u2010I infection and of developing ATLL persists long after migration. Documentation of ATLL among offspring of Japanese immigrants to Hawaii is an important observation because it confirms the potential for long latency between putative exposure to virus and the development of overt disease. Changing marriage patterns among the Hawaii\u2010Japanese may weaken the risk of vertical virus transmission to the descendents of migrants from southern Japan, while increasing the risk to children born of mixed marriages. In addition, blood products derived from high\u2010risk donors will constitute a continuing hazard if they are not subject to screening.<\/jats:p>","DOI":"10.1002\/hon.2900070210","type":"journal-article","created":{"date-parts":[[2007,2,19]],"date-time":"2007-02-19T20:07:41Z","timestamp":1171915661000},"page":"181-188","source":"Crossref","is-referenced-by-count":1,"title":["Retrovirus\u2010associated adult T\u2010cell leukemia\u2010lymphoma: An epidemiologic study of five cases among Hawaii\u2010born offspring of migrant Japanese"],"prefix":"10.1002","volume":"7","author":[{"given":"Eugene T.","family":"Yanagihara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucille","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Oishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,3,2]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"322","article-title":"Transmission of adult T\u2010cell leukemia retrovirus (HTLV\u2010I) from mother to child: Comparison of bottle\u2010 with breast\u2010fed babies","volume":"78","author":"Ando Y.","year":"1987","journal-title":"Jpn. 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