| Lymphadenopathy in celiac disease: computed tomographic observations. | |
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MedLine Citation:
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PMID: 6609595 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 tomography (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. Follow-up CT in one of these patients revealed almost complete regression of the adenopathy after institution of a gluten-free diet. The other, with a 2 year duration of CT-documented abdominal adenopathy prior to diagnosis, became asymptomatic with weight gain for over 1 year after institution of a gluten-free diet. |
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Authors:
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B Jones; T M Bayless; E K Fishman; S S Siegelman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 142 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 1984 Jun |
Date Detail:
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Created Date: 1984-06-12 Completed Date: 1984-06-12 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1127-32 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Celiac Disease / complications, radiography* Female Humans Lymphatic Diseases / complications, radiography* Lymphoma / complications, radiography Male Middle Aged Tomography, X-Ray Computed* |
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