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[菊池-藤本病坏死性组织细胞性淋巴结炎:附2例报告及文献复习]

[Kikuchi-Fujimoto necrotizing histiocytic lymphadenitis: apropos of 2 cases and review of the literature].

作者信息

Sire S, Djossou F, Deminière C, Constans J, Ragnaud J M, Aubertin J

机构信息

Clinique médicale et des maladies infectieuses, CHU Bordeaux, hôpital Pellegrin, Bordeaux, France.

出版信息

Rev Med Interne. 1996;17(10):842-5. doi: 10.1016/0248-8663(96)82689-0.

Abstract

The Kikuchi-Fujimoto's syndrome is an histiocytic necrotizing lymphadenitis which is observed at any ages but preferentially among young adults. The sex ratio is about 4:1 in favour of women. It is clinically characterized by cervical lymph nodes in a context of fever and asthenia. Sometimes, there is transitory leucopenia and an increase of the erythrocyte sedimentation rate. The course of the disease is spontaneously favourable in 1 or 3 months but recurrence is possible. The histology of the lymph node could mimic a malignant lymphoma and the immunohistochemical findings are of a great importance (Ki-M1P or KP1 antibody). The etiology remains unknown but some infectious diseases have been suspected (toxoplamosis, Epstein-Barr virus). Its association with a systemic lupus erythematous had been described and this set the problem of its physiopathology. We report two new cases of Kikuchi-Fujimoto's syndrome which one was attributed to Epstein-Barr virus primo-infection and the other associated with a systemic lupus erythematous.

摘要

菊池-藤本病是一种组织细胞坏死性淋巴结炎,可见于任何年龄,但以年轻成年人更为多见。男女比例约为1:4,女性居多。临床特征为发热、乏力伴颈部淋巴结肿大。有时会出现一过性白细胞减少和红细胞沉降率升高。该病病程在1至3个月内可自行好转,但可能复发。淋巴结组织学表现可类似恶性淋巴瘤,免疫组化结果具有重要意义(Ki-M1P或KP1抗体)。病因尚不清楚,但怀疑与某些传染病有关(弓形虫病、EB病毒)。曾有报道其与系统性红斑狼疮相关,这引发了对其病理生理学的探讨。我们报告两例菊池-藤本病新病例,一例归因于EB病毒初次感染,另一例与系统性红斑狼疮相关。

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