kikuchi-fujimoto disease: a rare presentation with localized iliac lymphadenitis

Authors

shrihari anil anikhindi department of gastroenterology, sir ganga ram hospital, new delhi

anil arora department of gastroenterology, sir ganga ram hospital, new delhi

shashi dhawan department of pathology, sir ganga ram hospital, new delhi

naresh bansal department of gastroenterology, sir ganga ram hospital, new delhi

abstract

kikuchi-fujimoto disease (kfd) is a benign, self-limiting disease characterized by histiocytic necrotising lymphadenitis. though several viral agents or an autoimmune etiology has been proposed as causative, the exact cause remains unknown. it has a female predilection and most commonly seen among young asian people. patients usually present with a febrile illness and the presence of lymphadenopathy may provide a clue to diagnosis. the most common site of lymphadenopathy is cervical lymph nodes while intra-abdominal involvement is uncommon. cases of kfd presenting with intra-abdominal lymphadenopathy have been reported to occur with equal frequency in both sexes. abdominal tuberculosis, non-hodgkin’s lymphoma, and systemic lupus erythematosus are close differential diagnoses for this type of presentation. treatment is mostly supportive as the disease usually resolves spontaneously; steroids are only required in severe cases. we report a 32-year-old male patient of intra-abdominal lymphadenitis that presented as fever of unknown origin (fuo) and diagnosed by excisional biopsy as a case of kfd.

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Journal title:
iranian journal of medical sciences

جلد ۴۲، شماره ۱، صفحات ۹۴-۰

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