THE DIAGNOSTIC DILEMMA: KIKUCHI FUJIMOTO DISEASE; A CASE REPORT

TYPE: Abstract TOPIC: Respiratory Care PURPOSE: Kikuchi Fujimoto Disease (KFD) is a rare condition. Handful of cases have been reported in literature. Studying and reporting KFD could enable clinicians timely management patients. METHODS: An 18 year old male referred to the outpatient clinic from Emergency department following mechanical fall while skating with right cervical lymphadenopathy generalised pain. Blood tests: Unremarkable. Cervical X ray: MRI scan: Conglomerate enlarged level V lymph nodes (inflammatory/ granulomatous aetiology). CT scan Neck Chest:Right posterior lymphadenopathy. US guided biopsy: Right neck node (1.5x4cm). Negative for ZN stain. Serology sampling: CMV HIV negative. Smear test: AFB showing necrotizing lymphadenitis. Primary B cell follicles were CD20, CD79a, CD3 positive. T cells, macrophages CD68 myeloperoxidase EBV (EBER) was Anti-EBV capsid IgG IgM however detected. HPV B19 also QuantiFERON TB gold assay exclude latent infection RESULTS: Based on extensive investigation panel, it thus formally concluded that clinical features results consistent diagnosis Kikuchi's CONCLUSIONS: very disease benign nature. Cause being unknown, treatment mainly symptomatic use analgesics such as NSAIDS. Occasionally steroids are used. CLINICAL IMPLICATIONS: Patients presenting may go developing SLE later life. Due limited data, becomes difficult establish clear link between two conditions. Further studies similarly patients hence encouraged. DISCLOSURE: Nothing declare. KEYWORD: