儿童菊池病的假瘤样表现：1例病例报告并文献复习

A pseudo-tumoral form of Kikuchi's disease in children: a case report and review of the literature.

作者信息

Lerosey Y, Lecler-Scarcella V, Francois A, Guitrancourt J A

机构信息

Department of Head and Neck Surgery, Rouen University Hospital, France.

出版信息

Int J Pediatr Otorhinolaryngol. 1998 Sep 15;45(1):1-6. doi: 10.1016/s0165-5876(98)00027-5.

DOI:10.1016/s0165-5876(98)00027-5

PMID:9804013

Abstract

We report one case of a cervical pseudo-tumoral form of histiocytic necrotizing lymphadenitis (Kikuchi Fugimoto disease) occurring in a 13-year-old child. Diagnosis was made only by histology examination of an excision biopsy from one cervical lymph node. Spontaneous complete resolution occurred within 2 months. A review of the clinical and histological features in adults and children is presented. No difference was found between the two populations regarding these features. Differential diagnoses are malignant lymphoma, systematic lupus erythematosus and, in particular, Still's disease in children. The etiology of the disease is also discussed.

摘要

我们报告一例发生在一名13岁儿童的颈部组织细胞性坏死性淋巴结炎（菊池病）假瘤样形式病例。仅通过对一个颈部淋巴结切除活检的组织学检查做出诊断。2个月内实现了自发完全缓解。本文对成人和儿童的临床及组织学特征进行了综述。在这些特征方面，两个群体之间未发现差异。鉴别诊断包括恶性淋巴瘤、系统性红斑狼疮，尤其是儿童的斯蒂尔病。还讨论了该疾病的病因。