Korean J Fam Med.  2010 Jan;31(1):51-55. 10.4082/kjfm.2010.31.1.51.

A Case Report of Kikuchi-Fujimoto Disease with Immune Thrombocytopenic Purpura

Affiliations
  • 1Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea. kanghc@yuhs.ac
  • 2Department of Pathology, Severance Hospital, Seoul, Korea.

Abstract

Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is a rare disease characterized by lymphadenitis with fever. It is self-limited within one to four months, and is generally diagnosed by an excisional biopsy of the affected lymph node. Kikuchi-Fujimoto disease has a wide variety of nonspecific symptoms and it is sometimes misdiagnosed as malignant lymphoma, lymph node tuberculosis, or systemic lupus erythematosus. Because clinical course and treatment of this disease differ from those of others, Kikuchi-Fujimoto disease must be included in differential diagnosis of enlarged lymph node. In this report, we discribed a case of 24-year-old male patient who visited the clinic complaining of fever, petechiae, and enlarged lymph node. He was diagnosed as Kikuchi-Fujimoto disease and immune thrombocytopenic purpura.

Keyword

Kikuchi-Fujimoto Disease; Histiocytic Necrotizing Lymphadenitis; Immune Thrombocytopenic Purpura

MeSH Terms

Biopsy
Diagnosis, Differential
Fever
Histiocytic Necrotizing Lymphadenitis
Humans
Lupus Erythematosus, Systemic
Lymph Nodes
Lymphadenitis
Lymphoma
Male
Purpura
Purpura, Thrombocytopenic, Idiopathic
Rare Diseases
Tuberculosis, Lymph Node
Young Adult
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