Intestinal Lymphonodular Hyperplasia of Childhood: Patterns of Presentation

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