Satavahana Chowdary V, Vinay Kumar E C, Swarna Latha G, Sudha Rani R
Dept. of ENT & Head and Neck Surgery, Dept. of Pathology, Apollo Hospitals, Jubilee Hills, Hyderabad. (A.P).
Indian J Otolaryngol Head Neck Surg. 2006 Jul;58(3):287-90. doi: 10.1007/BF03050845.
Kikuchi - fujimoto disease also known as histiocytic necrotizing lymphadenitis is an idiopathic benign self limiting condition with a favourable outcome, usually affecting young women. The following cases have burn reported for clinical interest and for the rarity of the reports about this condition in ENT literature. In our series, we had 2 female patients aged 18 years and 25 years respectively and a male patient aged 45 years, presenting with fever, bilateral tender multiple cervical adenopathy including posterior triangle nodes not responding to routine antibiotics and anti-inflammatory drug treatment. ENT findings were within normal limits. Routine clinical investigations were within normal limits except for the raised ESR. Biopsy from one of the enlarged glands revealed necrotizing lymphadenitis. All the patients subsequently showed significant improvement locally in the neck and systemically without any further active treatment.
菊池-藤本病也称为组织细胞坏死性淋巴结炎，是一种特发性良性自限性疾病，预后良好，通常影响年轻女性。以下病例因其临床意义以及耳鼻喉科文献中关于该疾病的报道稀少而被报道。在我们的系列病例中，有两名女性患者，年龄分别为18岁和25岁，一名男性患者，年龄为45岁，均表现为发热、双侧颈部多发压痛性淋巴结肿大，包括后三角区淋巴结，对常规抗生素和抗炎药物治疗无效。耳鼻喉科检查结果正常。除血沉升高外，常规临床检查均正常。对其中一个肿大淋巴结进行活检显示为坏死性淋巴结炎。所有患者随后颈部局部和全身情况均有显著改善，无需进一步积极治疗。
