[A rare cause of cervical adenopathy].

Praxis (Bern 1994)

Service de Médecine Interne, Département de Médecine, CHUV, Lausanne.

Published: November 2007

AI Article Synopsis

  • A young woman presented with swollen lymph nodes in her neck and chest, along with fever and signs of inflammation.
  • Initial tests, including blood cultures and viral tests, ruled out infections and autoimmune diseases.
  • A biopsy of the lymph node indicated a specific condition known as Kikuchi's disease, characterized by histiocytic necrotizing lymphadenitis.

Article Abstract

We report the case of a young woman, who presented a sus-clavicular adenopathy with fever and inflammatory syndrome. A cervico-thoracic scan reveals sus-clavicular and hilar adenopathies with central necrosis. Laboratory studies, including blood culture and viral serologies were negative, and excluded an infectious aetiology. Clinical features and anti-nuclear antibody tests were not compatible with an inflammatory autoimmune disease. Bone marrow examination and lymph node histology didn't show any malignant cell. Histology analysis of the lymph node showed a typical aspect of histiocytic necrotizing lymphadenitis. This is compatible with the diagnosis of Kikuchi's disease.

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http://dx.doi.org/10.1024/1661-8157.96.46.1821DOI Listing

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