Intestinal Lymphonodular Hyperplasia of Childhood
| Autor: | J. S. Dipalma, C A Leftridge, A R Colón |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Colon Lymphoid Tissue Rectum Physical examination Gastroenterology Lymphoid hyperplasia Colonic Diseases Ileum Internal medicine Humans Medicine Child Lymphatic Diseases Hyperplasia medicine.diagnostic_test Ileal Diseases business.industry medicine.disease Hematochezia Abdominal Pain Endoscopy medicine.anatomical_structure El Niño Female medicine.symptom Gastrointestinal Hemorrhage business |
| Zdroj: | Journal of Clinical Gastroenterology. 13:163-166 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/00004836-199104000-00009 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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