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Vol. 43. Issue 1.
Pages 31-33 (January 2001)
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Vol. 43. Issue 1.
Pages 31-33 (January 2001)
Hiperplasia nodular linfoide en un paciente con inmunodeficiencia combinada grave*
Lymphoid nodular hyperplasia in a patient with severe combined immunodeficiency disease
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M. Luisa Sánchez-Alegre, Antonio Casanova, José Delgado, Sagrario Relanzón.
Hospital General Universitario «Gregorio Marañón». C/ Doctor Esquerdo, 47. 28028 Madrid.
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Resumen

Describimos un caso de hiperplasia nodular linfoide en el contexto de un cuadro de inmunodeficiencia combinada grave. La paciente refe-ría estreñimiento y crisis de dolor abdominal, presentando en la explo-ración una voluminosa masa abdominal. Los exámenes radiológicos iniciales hicieron sospechar el diagnóstico, pero fue necesaria la reali-zación de una biopsia intestinal con el fin de descartar una afectación linfomatosa.

Queremos llamar la atención sobre la semiología radiológica de esta entidad, que si bien en principio puede ser un hallazgo casual sin signi-ficado patológico, requiere una especial atención especialmente en su-jetos inmunodeficientes.

Palabras clave:
Hiperplasia nodular linfoide
Inmunodeficiencia
TC
Ecografía
Enema opaco
Abstract

We describe a case of lymphoid nodular hyperplasia in a woman with severe combined immunodeficiency disease. The patient complained of constipation and episodes of abdominal pain, and examination revealed the presence of a large abdominal mass. The diagnosis was suspected on the basis of the initial radiological studies, but intestinal biopsy was necessary to rule out lymphomatous involvement.

We point out the radiological features of this entity which, despite the fact that it may be a chance finding of no pathological significance, requires special attention, especially in immunodeficient individuals.

Key word:
Lymphoid nodular hyperplasia
Immunodeficiency
Computed tomography
Ultrasonography
Barium enema

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