Kikuchi-Fujimoto disease: lymphadenopathy in siblings.

A 19-year-old Aboriginal woman presented with a three-week history of swollen neck glands, nausea, vomiting, chills and weight loss. On examination, she had bilateral, nontender, diffuse cervical lymphadenopathy. Oral examination revealed extensive dental caries and periodontal disease. The results of her laboratory workup are shown in Table 1. Both a lymph node aspiration and a bone marrow biopsy were nondiagnostic. The patient was scheduled for a surgical lymph node biopsy, but when she was seen one month later, the lymphadenopathy had resolved spontaneously. Based on these findings, she was diagnosed with Kikuchi–Fujimoto disease. At follow-up a year and a half later, she had no evidence of recurrence.