Lymphocytic duodenitis is a condition where excess lymphocytes (a type of white blood cell) accumulate in the lining of the duodenum, the first part of the small intestine. This buildup leads to mild inflammation and irritation, which is most often diagnosed via biopsy during an upper endoscopy.
Symptoms can be subtle at first but may include:
Several factors can trigger lymphocyte overactivity in the duodenum:
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Lymphocytic duodenitis is an inflammatory condition in which too many lymphocytes (a type of white blood cell) collect in the lining of the duodenum, causing mild swelling and irritation.
It's most often diagnosed during an upper endoscopy when a small tissue sample (biopsy) from the duodenum shows an elevated count of lymphocytes under the microscope.
Yes. Early or mild celiac disease can present with similar duodenal lymphocytosis, but not everyone with lymphocytic duodenitis has full-blown celiac. Additional blood tests and response to a gluten-free diet help distinguish them.
Often, yes. Many patients improve on a gluten-free or other elimination diet tailored to their food sensitivities, which can reduce inflammation and alleviate symptoms.
Some people notice relief in a few weeks after starting dietary changes or medications, but complete healing of the duodenal lining can take longer and requires follow-up evaluation.