Zhou Yan, Liang Qiuling, Yang Chun
Department of Otolaryngology, Guizhou Provincial People's Hospital, Guiyang, China.
Department of Otolaryngology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.
Ear Nose Throat J. 2024 Oct 9:1455613241290493. doi: 10.1177/01455613241290493.
Histiocytic necrotizing lymphadenitis (HNL), also known as Kikuchi disease, is a relatively rare sub-acute necrotic localized lymphadenitis. This benign, self-limiting condition is characterized by fever, painful lymphadenopathy, skin rash, and other systemic symptoms. Due to its nonspecific presentation, unclear etiology, and pathogenesis, HNL has a low incidence rate in clinical practice. Insufficient awareness among clinicians and pathologists can easily lead to misdiagnosis. This article reported a 27-year-old female patient who was admitted to the hospital with fever, neck pain, and enlarged lymph nodes in the neck. There were no special medical or personal histories, and postoperative pathology confirmed tissue necrotizing lymphadenitis. After treatment with steroids and symptomatic therapy, she recovered and was discharged from the hospital. Follow-up to date has shown no recurrence.
组织细胞坏死性淋巴结炎（HNL），又称菊池病，是一种相对罕见的亚急性坏死性局限性淋巴结炎。这种良性的自限性疾病的特征是发热、疼痛性淋巴结病、皮疹及其他全身症状。由于其表现不具特异性、病因及发病机制不明，HNL在临床实践中的发病率较低。临床医生和病理学家对此认识不足很容易导致误诊。本文报道了一名27岁女性患者，因发热、颈部疼痛及颈部淋巴结肿大入院。无特殊的病史或个人史，术后病理证实为组织坏死性淋巴结炎。经类固醇治疗及对症治疗后，患者康复出院。至今随访未发现复发。
