Intestinal lymphonodular hyperplasia of childhood: patterns of presentation.

doi:10.1097/00004836-199104000-00009

Paper

Intestinal lymphonodular hyperplasia of childhood: patterns of presentation.

Published Apr 1, 1991 · A. R. Colón, J. Dipalma, C. Leftridge

Journal of clinical gastroenterology

Q2 SJR score

64

Citations

2

Influential Citations

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Abstract

In this retrospective analysis we searched for a constellation of signs or symptoms attributable to childhood lymphonodular hyperplasia (LNH). Of 147 children with documented LNH reviewed, 43% had lesions in the small bowel, and 57% in the large bowel. Children in this study presented with complaints of abdominal pain (58%) and bright red blood per rectum (32%). Physical examination revealed little except right lower quadrant (RLQ) abdominal tenderness and "fullness" in 35%. The pain was periumbilical, dull-cramping, rarely acute, and nonradiating. The hematochezia was most commonly streaky red in mucoid strands adhering to the stools, with no associated tenesmus. Three clinical patterns emerged: (a) Under 1 year of age most patients were male, with painless bleeding and pancolonic LNH. (b) Between 2 and 6 years, although the LNH was predominantly colonic, pain and bleeding occurred equally. (c) From 7 years old on, the main symptom was abdominal pain, but LNH distribution was nearly equal between the small bowel and the colon. To date, our long-term follow-up of the children with isolated LNH has revealed no sequelae.

Study Snapshot

Childhood lymphonodular hyperplasia (LNH) presents with abdominal pain and bright red blood, and has three clinical patterns: pancolonic, colonic, and equal distribution between small bowel and colon.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Paper

Intestinal lymphonodular hyperplasia of childhood: patterns of presentation.

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References

Citations

Nodular lymphoid hyperplasia simulating ileocolic intussusception: A case report

Nodular lymphoid hyperplasia in the ileo-cecal region can mimic ileo-colic intussusception and should be considered in the differential diagnosis, particularly in patients outside the age range of idiopathic intussusception.

Disease patterns among Saudi children undergoing colonoscopy for lower gastrointestinal bleeding: Single tertiary care center experience

Colonoscopy is an effective diagnostic tool in children with lower gastrointestinal bleeding, with IBD, CLNH, and RMPS being the most common causes.

Nodular Lymphoid Hyperplasia in Children: Recurrent Hematemesis

Nodular lymphoid hyperplasia in children can cause recurrent hematemesis due to submucosal lymphoid tissue growth and mucosal response to noxious stimuli.

Lymphoid Hyperplasia of the Gallbladder Extending to the Bile Duct

Lymphoid hyperplasia of the gallbladder extends to the bile duct, causing continuous wall thickening of the bile duct and gallbladder lesions in a 72-year-old woman.

Fluoroscopic Evaluation of Duodenal Diseases.

Fluoroscopy is a valuable adjunct technique for evaluating duodenal diseases, providing anatomic and functional information and assessing real-time duodenal motility.