Mukta V, Jayachandran K, Hemapriya S
Department of Medicine, PSGIMS&R, Peelamedu Coimbatore 641004, Tamil Nadu.
J Assoc Physicians India. 2011 Mar;59:183-4.
Kikuchi Fujimoto's disease is a rare, self limiting disorder characterized by fever and cervical lymphadenitis. It is often an incidental finding in a patient suspected to have tuberculosis or lymphoproliferative disorder. We diagnosed this disease in a young 23-year-old female who was suffering from prolonged fever, cervical lymphadenopathy, anemia, leucopenia and mild splenomegaly; based on histopathological study of the excised lymphnode. We reviewed the clinical records and histopathologic findings of four more patients of Kikuchi-Fujimoto's disease, who were treated by others at our institute. All five patients improved with NSAIDS (non steroidal anti inflammatory drugs). Histopathological finding of histiocytic necrotizing lymphadenitis or Kikuchi's disease proved invaluable in characterization of these cases.
菊池富士本病是一种罕见的自限性疾病,其特征为发热和颈部淋巴结炎。它常在疑似患有结核病或淋巴增殖性疾病的患者中偶然发现。我们在一名23岁的年轻女性患者中诊断出了这种疾病,该患者长期发热、颈部淋巴结肿大、贫血、白细胞减少且有轻度脾肿大;诊断依据是对切除淋巴结的组织病理学研究。我们回顾了另外4例在我们研究所由其他医生治疗的菊池富士本病患者的临床记录和组织病理学发现。所有5例患者使用非甾体抗炎药(NSAIDS)后病情均有改善。组织细胞性坏死性淋巴结炎或菊池病的组织病理学发现对这些病例的特征描述具有重要价值。