Lymphadenopathy in celiac disease: computed tomographic observations
Lymphadenopathy in patients with celiac disease is generally viewed with alarm due to the association between celiac disease and intestinal lymphoma. Four patients with celiac disease are described in whom significant mesenteric and paraaortic adenopathy was demonstrated by computed tomogrophy (CT). The subsequent clinical course of these patients revealed no evidence of lymphoma. In two patients with longstanding celiac disease and recent relapse, exploratory laparotomy revealed reactive hyperplasia in the enlarged glands; in one patient this was associated with intestinal ulceration, and in the other no underlying pathology was found. Follow-up CT scans in both these patients demonstrated regression of the findings with clinical improvement. In the other two patients, CT was performed as part of the initial evaluation.
- Research Organization:
- Johns Hopkins Medical Institution, Baltimore, MD
- OSTI ID:
- 6749165
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Vol. 142:6
- Country of Publication:
- United States
- Language:
- English
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59 BASIC BIOLOGICAL SCIENCES
DIGESTIVE SYSTEM
COMPUTERIZED TOMOGRAPHY
DIGESTIVE SYSTEM DISEASES
DIAGNOSIS
PATHOLOGY
LYMPH NODES
LYMPHOMAS
HYPAQUE
PATIENTS
ALKALI METAL COMPOUNDS
AMIDES
CONTRAST MEDIA
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DISEASES
LYMPHATIC SYSTEM
NEOPLASMS
ORGANIC COMPOUNDS
ORGANIC HALOGEN COMPOUNDS
ORGANIC IODINE COMPOUNDS
ORGANIC NITROGEN COMPOUNDS
SODIUM COMPOUNDS
TOMOGRAPHY
550602* - Medicine- External Radiation in Diagnostics- (1980-)
550900 - Pathology