MƏDƏ-BAĞIRSAQ TRAKTININ NODULYAR LİMFOİD HİPERPLAZİYASININ DİFFERENSİAL AXTARIŞ ÇƏTİNLİYİ
Babayeva G.H., Mahmudov U.R., Quliyev F.V. Əsədova G.V., Musayev J.S.
DOI: 10.61775/2413-3302.v2i32.03
XÜLASƏ
Mədə-bağırsaq traktının nodulyar limfoid hiperplaziyası daha tez-tez nazik bağırsaqda, mədədə,
yoğun bağırsaqda və ya düz bağırsaqda yerləşən, adətən diametri 2-10 mm olan çoxsaylı kiçik
düyünlərin olması ilə xarakterizə olunur. Patogenezi əsasən məlum deyil və baş vermə bütün yaş
qruplarında mümkündür, uşaqlarda olduqca yaygındır və immun çatışmazlığı olan və ya
olmayan yetkinlərdə də qeyd oluna bilər. Bəzi hallarda xəstələrdə ümumi variabel immun
çatışmazlığı, selektiv IgA çatışmazlığı, Giardia intestinalis, çölyak xəstəliyi, Helicobacter pylori,
insan immun çatışmazlığı virusu ola bilər. Bu yaxınlarda COVID-19 keçirmiş xəstələrdə
nodulyar limfoid hiperplaziyanın aşkarlanması ilə bağlı məlumatlar təqdim edilmişdir. Nodulyar
limfoid hiperplaziyası adətən asimptomatikdir, lakin qarın ağrısı, xroniki ishal, qanaxma və ya
ileus kimi müxtəlif mədə-bağırsaq simptomlarına səbəb ola bilər. Diaqnoz endoskopiya və ya
barium kontrast üsulu ilə qoyulur və patohistoloji tapıntılarla təsdiqlənməlidir. Nodulyar limfoid
hiperplaziyası həm bağırsaq, həm də çox nadir hallarda ekstraintestinal limfoma üçün risk
faktorudur.
Açar sözlər: nodulyar limfoid hiperplaziya, mədə-bağırsaq traktı, endoskopiya, ümumi variabl immun çatışmazlığı, selektiv IgA çatışmazlığı, Giardia intestinalis, çölyak xəstəliyi, Helicobacter pylori
ƏDƏBİYYAT
- Albuquerque А. Nodular lymphoid hyperplasia in the gastrointestinal tract in adult
patients: A review // World J Gastrointest Endosc. 2014 Nov 16; 6(11): 534 540. doi:
10.4253/wjge.v6.i11.534
- Elkholy Sh., Mogawer Sh., Farag A. Nodular lymphoid hyperplasia of the gastrointestinal
tract: a comprehensive review // Acta Gastro-Enterologica Belgica. 2017, 80, 405-410.
- Rubio-Tapia A, Hernández-Calleros J, Trinidad-Hernández S, Uscanga L. Clinical
characteristics of a group of adults with nodular lymphoid hyperplasia: a single center
experience // World J Gastroenterol., 2006;12:1945-1948.
- Baran B, Gulluoglu M, Akyuz F. Nodular lymphoid hyperplasia of duodenum caused by
giardiasis // Clin Gastroenterol Hepatol., 2013;11:A22.
- Schwartz DC, Cole CE, Sun Y, Jacoby RF. Diffuse nodular lymphoid hyperplasia of the
colon: polyposis syndrome or normal variant? // Gastrointest Endosc., 2003;58:630-632.
- Iacono G, Ravelli A, Di Prima L, Scalici C, et al. Colonic lymphoid nodular hyperplasia in
children: relationship to food hypersensitivity // Clin Gastroenterol Hepatol.,
2007;5:361-366.
- Kiefte-de Jong JC, Escher JC, Arends LR, Jaddoe VW, et al. Infant nutritional factors and
functional constipation in childhood: the Generation R study // Am J Gastroenterol., 2010;
105:940-945.
- Tokuhara D, Watanabe K, Okano Y, Tada A, Yamato K, et al. Wireless capsule endoscopy
in pediatric patients: the first series from Japan //J Gastroenterol., 2010;45:683-691.
- Ward EM, Wolfsen HC. Review article: the non-inherited gastrointestinal polyposis
syndromes // Aliment Pharmacol Ther., 2002;16:333-342.
- Khuroo MS, Khuroo NS. Diffuse duodenal nodular lymphoid hyperplasia: a large cohort of
patients etiologically related to Helicobacter pylori infection // BMC Gastroenterol.,
2011;11:36.
- Razafimahefa, V.J., Razafindrafara, H.E., Rabarison, M.R. et al. Nodular Lymphoid
Hyperplasia of the Colon in an Adult Patient after Covid-19 Infection: A Case Report and
Literature Review // Open Journal of Pathology (2023), 13, 1-8. https://doi.org/10.4236/ojpathology.2023.131001).
- Qanneta R., Feliu-Masgoret M., García-Pardoetal G. Reactive ileal lymphoid hyperplasia
related to SARS-CoV-2 infection as a unique clinical feature resembling Crohn’s disease //
Revista de Gastroenterología de México. 2022. RGMXEN-855; No. of Pages 2. DOI: 10.1016/j.rgmxen. 2022.07. 010
- Luzi G, Zullo A, Iebba F, Rinaldi V, et al. Duodenal pathology and clinical-immunological
implications in common variable immunodeficiency patients // Am J Gastroenterol.,
2003;98:118-121.
- Atarod L, Raissi A, Aghamohammadi A, Farhoudi A, et al. A review of gastrointestinal
disorders in patients with primary antibody immunodeficiencies during a 10-year period
(1990-2000), in children hospital medical center // Iran J Allergy Asthma Immunol.,
2003;2:75-79.
- Khodadad A, Aghamohammadi A, Parvaneh N, Rezaei N, et al. Gastrointestinal
manifestations in patients with common variable immunodeficiency // Dig Dis Sci., 2007;
52:2977-2983.
- Said-Criado I, Gil-Aguado A. Nodular lymphoid hyperplasia in common variable
immunodeficiency // Lancet., 2014;383:e2.
- Postgate A, Despott E, Talbot I, Phillips R, et al. An unusual cause of diarrhea: diffuse
intestinal nodular lymphoid hyperplasia in association with selective immunoglobulin A
deficiency (with video) // Gastrointest Endosc., 2009;70:168-19; discussion 169.
- Piaścik M, Rydzewska G, Pawlik M, Milewski J, et al. Diffuse nodular lymphoid
hyperplasia of the gastrointestinal tract in patient with selective immunoglobulin A
deficiency and sarcoid-like syndrome--case report // Adv Med Sci., 2007;52:296-300.
- Joo M, Shim SH, Chang SH, Kim H, Chi JG, Kim NH. Nodular lymphoid hyperplasia and
histologic changes mimicking celiac disease, collagenous sprue, and lymphocytic colitis in
a patient with selective IgA deficiency // Pathol Res Pract., 2009;205:876-880.
- Agarwal S, Mayer L. Diagnosis and treatment of gastrointestinal disorders in patients with
primary immunodeficiency // Clin Gastroenterol Hepatol., 2013;11:1050-1063.
- Olmez S, Aslan M, Yavuz A, Bulut G, Dulger AC. Diffuse nodular lymphoid hyperplasia
of the small bowel associated with common variable immunodeficiency and giardiasis: a
rare case report // Wien Klin Wochenschr., 2014;126:294-297.
- de Weerth A, Gocht A, Seewald S, Brand B, et al. Duodenal nodular lymphoid hyperplasia
caused by giardiasis infection in a patient who is immunodeficient // Gastrointest Endosc.,
2002;55:605-607.
- Onbaşi K, Günşar F, Sin AZ, Ardeniz O, Kokuludağ A, Sebik F. Common variable
immunodeficiency (CVID) presenting with malabsorption due to giardiasis // Turk J
Gastroenterol., 2005;16:111-113.
- Monsanto P, Lérias C, Almeida N, Lopes S, et al. Intestinal nodular lymphoid hyperplasia
and extraintestinal lymphoma--a rare association // Acta Gastroenterol Belg.,
2012;75:260-262.
- Garg V, Lipka S, Rizvon K, Singh J, et al. Diffuse nodular lymphoid hyperplasia of
intestine in selective IgG 2 subclass deficiency, autoimmune thyroiditis, and autoimmune
hemolytic anemia: case report and literature review // J Gastrointestin Liver Dis.,
2012;21:431-434.
- Chandra S. Benign nodular lymphoid hyperplasia of colon: a report of two cases // Indian J
Gastroenterol., 2003;22:145-146.
- Shuhaiber J, Jennings L, Berger R. Nodular lymphoid hyperplasia: a cause for obscure
massive gastrointestinal bleeding // J Pediatr Surg., 2005;40:E17-E19.
- Ersoy E, Gündoğdu H, Uğraş NS, Aktimur R. A case of diffuse nodular lymphoid
hyperplasia // Turk J Gastroenterol., 2008;19:268-270.
- Molaei M, Kaboli A, Fathi AM, Mashayekhi R, et al. Nodular lymphoid hyperplasia in
common variable immunodeficiency syndrome mimicking familial adenomatous polyposis
on endoscopy // Indian J Pathol Microbiol., 2009;52:530-533.
- Bayraktar Y, Ersoy O, Sokmensuer C. The findings of capsule endoscopy in patients with
common variable immunodeficiency syndrome // Hepatogastroenterology,
2007;54:1034-1037.
- Tomita S, Kojima M, Imura J, Ueda Y, et al. Diffuse nodular lymphoid hyperplasia of the
large bowel without hypogammaglobulinemia or malabsorption syndrome: a case report
and literature review // Int J Surg Pathol., 2002;10:297-302.
- Yoshino T, Miyake K, Ichimura K, Mannami T, et al. Increased incidence of follicular
lymphoma in the duodenum //Am J Surg Pathol., 2000;24:688-693.
- Jeon JY, Lim SG, Kim JH, Lee KM, et al. Nodular lymphoid hyperplasia of the stomach in
a patient with multiple submucosal tumors // Blood Res., 2013;48:287-291.
- Jonsson OT, Birgisson S, Reykdal S. Resolution of nodular lymphoid hyperplasia of the
gastrointestinal tract following chemotherapy for extraintestinal lymphoma // Dig Dis Sci.,
2002;47:2463-2465.
|