What's going on with pharyngeal lymphoid follicle hyperplasia

Pharyngeal lymphoid follicle hyperplasia is a common clinical disease, the onset of this disease is mainly related to the stimulation of chronic pharyngitis. Hyperplasia of pharyngeal lymph follicles has a great impact on human health and can easily induce many complications. For such problems, we must follow the principle of early detection and early treatment. So what exactly is hyperplasia of pharyngeal lymph follicles?

1. Impact

Patients with pharyngeal lymph follicle hyperplasia often have a tingling sensation in the throat. The pathological changes caused by pharyngeal lymph follicle hyperplasia not only cause local functional disorders in the throat, but can also affect adjacent organs and even the entire body. The proliferation of pharyngeal lymph follicles can spread upward and cause rhinitis, sinusitis, and acute otitis media; and develop downward and cause acute laryngitis, tracheitis, bronchitis, and pneumonia. Pathogenic bacteria and their toxins entering the blood circulation can cause acute nephritis, sepsis, rheumatism, etc. If the upper respiratory tract infection is caused by a virus, it can also lead to viral myocarditis, which is extremely harmful to the body.

2. Pathology

Hyperplasia of lymphoid follicles in the retropharyngeal wall. The main reason is that under the stimulation of chronic inflammation, there is extensive hyperplasia of connective tissue and lymphoid tissue in the pharyngeal mucosa and submucosa, and the protrusions of lymphoid tissue around the mucous glands are chronically congested, causing granular protrusions on the posterior pharyngeal wall or even fusion into pieces. If the excretion of secretions in the mucosal fluid glands is blocked, cystic white spots may form on the top of the protruding lymphoid tissue, and yellow-white substances may be seen when it ruptures. When the lesion involves the lateral pharyngeal cord lymphoid tissue, the lateral pharyngeal cord will undergo longitudinal hyperplasia and hypertrophy, which is called "lateral pharyngeal hyperplasia." It is essentially a pathological phenomenon and a manifestation of hypertrophic pharyngitis.

3. Symptoms

The patient always feels that there is sticky phlegm attached to the throat or a nucleus-like object blocking it, which is more obvious when there are mood changes, climate changes, or strange smells. During the examination, it can be found that the pharyngeal mucosa is hyperplastic and thickened, and the lymph follicles of the posterior pharyngeal wall are proliferating in scattered or lumpy forms. Over time, the accessory vocal cords proliferate, thicken and narrow, leading to hoarseness. If there are vocal cord polyps, there is a possibility of cancer. Symptoms such as dry throat and mouth, itchy throat, dry cough, hoarseness, chest tightness and shortness of breath are more common.