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腋窝淋巴结组织细胞性坏死性淋巴结炎(菊池-藤本病)

Histiocytic necrotising lymphadenitis (Kikuchi-Fujimoto disease) of axillary lymph nodes.

作者信息

Nagaraju Santosh, Vaishnav Sakshi, Burke Leandra H, Norman Earl M

机构信息

Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Western Michigan University School of Medicine, Kalamazoo, Michigan, USA.

出版信息

BMJ Case Rep. 2015 Jan 5;2015:bcr2014203776. doi: 10.1136/bcr-2014-203776.

Abstract

Kikuchi-Fujimoto disease (KFD) or histiocytic necrotising lymphadenitis is a rare entity, occurring most commonly in young Asian adults. KFD is characterised by fever with tender lymph node enlargement. The cervical group of lymph nodes is most commonly involved, and the diagnosis is conclusively made by lymph node biopsy and histopathology. KFD is a self-limiting condition, which usually resolves over 1-4 months. Symptomatic treatment with antipyretics and/or non-steroidal anti-inflammatory drugs is recommended. Here we describe an uncommon presentation of KFD in a young woman in which only the axillary lymph nodes were enlarged.

摘要

菊池-藤本病(KFD)或组织细胞坏死性淋巴结炎是一种罕见疾病,最常见于年轻的亚洲成年人。KFD的特征是发热伴压痛性淋巴结肿大。最常累及颈部淋巴结组,通过淋巴结活检和组织病理学检查可明确诊断。KFD是一种自限性疾病,通常在1 - 4个月内痊愈。建议使用退烧药和/或非甾体类抗炎药进行对症治疗。在此,我们描述了一名年轻女性KFD的罕见表现,其仅腋窝淋巴结肿大。

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