Noda Ayako, Kenzaka Tsuneaki, Sakatani Takashi, Kajii Eiji
Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.
BMJ Case Rep. 2014 Mar 25;2014:bcr2013203017. doi: 10.1136/bcr-2013-203017.
A 29-year-old woman was admitted to our hospital with fever and abdominal pain. Abdominal echogram and CT revealed intra-abdominal lymphadenopathy. Seven days after the onset, she developed cervical lymphadenitis. Kikuchi-Fujimoto's disease (KFD) was diagnosed on cervical lymph node biopsy. Although KFD with intra-abdominal lymphadenopathy is rare, it should be considered in young adults with intra-abdominal lymphadenitis. Because KFD is a benign, self-limiting disease, we suggest the use of a minimally invasive method of diagnosis such as superficial lymph node biopsy.
一名29岁女性因发热和腹痛入院。腹部超声和CT显示腹内淋巴结病。发病7天后,她出现颈部淋巴结炎。经颈部淋巴结活检诊断为菊池-藤本病(KFD)。虽然伴有腹内淋巴结病的KFD很罕见,但对于患有腹内淋巴结炎的年轻人应予以考虑。由于KFD是一种良性自限性疾病,我们建议采用如浅表淋巴结活检等微创诊断方法。