Azzam Motaz, Helali Hadi, Sharif Elsade, Musa Rehab, Hamdi Moataz, Hotait Hassan, Aldirawi Mohammed, Alhamdani Sarmad, Yavuz Lemis
Pediatrics, Al Jalila Children's Speciality Hospital, Dubai, ARE.
Pediatric Rheumatology, Al Jalila Children's Speciality Hospital, Dubai, ARE.
Cureus. 2023 Feb 18;15(2):e35160. doi: 10.7759/cureus.35160. eCollection 2023 Feb.
Kikuchi disease (KD) is a benign self-limiting rare disease with unknown etiology. Prolonged fever with tender neck lymphadenitis is the most common presentation. Blood tests are not specific, and the final diagnosis is by biopsy. We describe two patients, ages seven and twelve years, who presented with fever and neck lymphadenitis. Both cases received antibiotics for more than two weeks without improvement. Blood work showed high inflammatory markers. The manifestation of the second case overlapped with Hashimoto's disease. The later diagnosis was confirmed by lymph node (LN) biopsy.
菊池病(KD)是一种病因不明的良性自限性罕见疾病。伴有颈部压痛性淋巴结炎的长期发热是最常见的表现。血液检查不具有特异性,最终诊断依靠活检。我们描述了两名患者,年龄分别为7岁和12岁,他们均表现出发热和颈部淋巴结炎。两例患者均接受了两周以上的抗生素治疗但无改善。血液检查显示炎症指标升高。第二例患者的表现与桥本氏病重叠。后来通过淋巴结活检确诊。