Click for new scientific resources and news about Corona[COVID-19]

Paper Information

Journal:   IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS)   December 2003 , Volume 28 , Number 4; Page(s) 176 To 184.
 
Paper: 

THE CLINICAL PRESENTATION AND OUTCOME OF INFANTS WITH NODULAR LYMPHOID HYPERPLASIA: EXPERIENCE WITH 34 CASES FROM SOUTHERN IRAN

 
 
Author(s):  GILANI SHAKIBA J., GERAMIZADEH B.
 
* 
 
Abstract: 
Background: Rectal bleeding is a relatively uncommon, but potentially important problem in early infancy. The common causes of fresh rectal bleeding in this age group are: bleeding diathesis (vit. K deficiency), infectious colitis, cows milk protein allergy and anal fissure. Nodular lymphoid hyperplasia (NLH) is another cause of prolonged fresh rectal bleeding in early infancy. The aim of this prospective study was to evaluate the clinical presentation and outcome of infants with fresh rectal bleeding and final diagnosis of NLH.
Methods: During a period of 3 years, from Sept. 1999 to Sept. 2002, 34 consecutive infants with prolonged fresh rectal bleeding were diagnosed as NLH and followed in our center.
Results: There were 18 boys and 16 girls. The mean age of onset of rectal bleeding was 1.82 months and the mean age of diagnosis 4.25 months. None of the cases had any signs or symptoms of underlying systemic diseases. All cases showed resolution of bleeding and dramatic response to exclusion of cows milk and its by-products from mothers diet or replacement of babies formula with hypoallergenic substitutes. By the age of one year all cases tolerated regular, unrestricted diets without recurrence of bleeding.
Conclusion: NLH is an important cause of prolonged fresh rectal bleeding in early infancy. The disease is limited to rectosigmoid area in otherwise healthy infants without underlying disease. Excluding cows milk from mothers diet or changing of the infants formula to hypoallergenic types is the best way of treatment. The long term prognosis of infants with NLH is excellent.
 
Keyword(s): FRESH RECTAL BLEEDING O INFANTS O NODULAR LYMPHOID HYPERPLASIA
 
References: 
  • ندارد
 
  pdf-File tarjomyar Yearly Visit 99
 
Latest on Blog
Enter SID Blog