Lee Dae Hyoung, Lee Jee Hyun, Shim Eun Jung, Cho Do Jun, Min Ki Sik, Yoo Ki Yang, Min Kwangseon
Department of Pediatrics, Pyungchon-dong, Dongan-gu, Sacred Heart Hospital, Hallym University, Anyang-si, Gyeonggi-do, Republic of Korea.
J Pediatr Hematol Oncol. 2009 Sep;31(9):687-9. doi: 10.1097/MPH.0b013e31819a5d77.
Kikuchi-Fujimoto disease is a rare and benign disease, characterized by regional cervical lymphadenopathy with fever of unknown origin, affecting mainly young women. This self-limiting disease of unknown etiology has rarely been reported in children, so it has been frequently confused with malignancies. We describe a case of a child who was initially mistaken for malignant lymphoma because of multiple lymph nodes with 18-fluorodeoxyglucose uptake on positron emission tomography and was finally diagnosed with Kikuchi-Fujimoto disease by excisional biopsy of the affected lymph node.
菊池-藤本病是一种罕见的良性疾病,其特征为局限性颈部淋巴结病伴不明原因发热,主要影响年轻女性。这种病因不明的自限性疾病在儿童中鲜有报道,因此常被误诊为恶性肿瘤。我们报告一例儿童病例,该患儿最初因正电子发射断层扫描显示多个淋巴结有18-氟脱氧葡萄糖摄取而被误诊为恶性淋巴瘤,最终通过对受累淋巴结进行切除活检确诊为菊池-藤本病。