Rakic L, Arrese J E, Thiry A, Piérard G E
Department of Dermatopathology, CHU Sart Tilman, University of Liège, Belgium.
J Eur Acad Dermatol Venereol. 1999 Sep;13(2):118-22.
We report a case of Kikuchi-Fujimoto disease with cutaneous involvement in a European man. In contrast, the disease is most prevalent in women of Asian descent. The condition is probably under-recognized when histology is not used to identify lymphadenitis of protracted course. Skin lesions may mimic clinically other unrelated disorders including lymphomas and immune or infectious dermatoses. Histology of skin lesions may bring a clue to the diagnosis when apoptotic plasmacytoid monocytes are recognized. The relationship between Kikuchi-Fujimoto disease and lupus erythematous remains a matter of debate.
我们报告了一例欧洲男性患伴有皮肤受累的菊池-藤本病。相比之下,该病在亚洲裔女性中最为常见。当不采用组织学方法来鉴别病程迁延的淋巴结炎时,这种疾病可能未得到充分认识。皮肤病变在临床上可能会模仿其他不相关的疾病,包括淋巴瘤以及免疫性或感染性皮肤病。当识别出凋亡的浆细胞样单核细胞时,皮肤病变的组织学检查可能为诊断提供线索。菊池-藤本病与红斑狼疮之间的关系仍存在争议。