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Enfermedad de Kikuchi-Fujimoto: comunicación de un caso y revisión de la bibliografía
| Content Provider | Semantic Scholar |
|---|---|
| Author | Cadena, Mauricio Morales Zurita, Gabriela Núñez Blanc, Nicole Pérez Mendez, Mariana L. |
| Copyright Year | 2008 |
| Abstract | Kikuchi-Fujimoto disease (KFD) or histiocytic necrotizing lymphadenitis is a benign and self-limited disorder, characterized by regional cervical lymphadenopathy with tenderness, usually accompanied with mild fever and night sweats. This is an extremely rare disease known to have a worldwide distribution with higher prevalence among Asian individuals. It is a very rare entity in Mexican population. While its etiology remains unclear, lately it has been associated with EpsteinBarr virus and human herpesvirus-6. Histologically, KFD findings include paracortical areas of coagulative necrosis with abundant karyorrhectic debris. It is clinically significant because of the possi ble misdiagnosis of other diseases such as tuberculosis, lymphoma, lymphadenitis associated with systemic lupus erythematosus, and even adenocarcinoma. Treatment is symptomatic. Spontaneous recovery occurs in 1 to 4 months. Patients with Kikuchi-Fujimoto disease should be followed-up for several years to survey the possibility of developing systemic lupus erythematosus. KFD is an uncommon, self-limited, and perhaps underdiagnosed process with an excellent prognosis. Accurate clinical-pathologic recognition is crucial, in order to prevent misdiagnosis and inappropriate treatment, particularly because KFD can be mistaken for malignant lymphoma. This paper serves to update otolaryngologists about the most current theories on a lesser known etiology of a self-limiting neck mass, especially in young individuals with posterior cervical lymphadenopathy. We present a case study of a 28 year-old Chinese male immigrant who presented with a unilateral cervical posterior neck mass and provide a literature review about KFD. |
| Starting Page | 35 |
| Ending Page | 40 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Volume Number | 53 |
| Alternate Webpage(s) | http://www.medigraphic.com/pdfs/anaotomex/aom-2008/aom081g.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
