Kikuchi - Fujimoto Disease : A rare case of necrotizing lymphadenitis.

Ramakrishnan.C; Siddhartha Gowthaman; Ramanathan.M

Volume : IX, Issue : V, May - 2020

Kikuchi - Fujimoto Disease : A rare case of necrotizing lymphadenitis.

Ramakrishnan. C, Siddhartha Gowthaman, Ramanathan. M

Abstract :

Kikuchi – Fujimoto disease (KFD) or necrotizing histiocytic lymphadenitis is characterized by fever, lymphadenopathy (usually cervical) and malaise. We are presenting a 26 year old women from Puducherry, with one month history of fever and cervical lymphadenopathy. On examination, she had level 2 and level 3 enlarged lymphnodes in the right side of her neck and her systemic examination was normal. Her ESR was mildly elevated and her total leucocyte counts were normal. Ultrasound guided FNAC revealed only a hemorrhagic aspirate and was inconclusive. So lymphnode biopsy was done which showed abundant necrosis, nuclear karryorhexis. Usually the disease is self limiting and needs only symptomatic treatment as opposed to other causes of lymphadenitis like tuberculosis which is more common in our country.