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A case of Kikuchi's disease with skin involvement

Korean Journal of Pediatrics 2006;49(1):103-106.
Published online January 15, 2006.
A case of Kikuchi's disease with skin involvement
Ji Min Jang1, Chul Hee Woo1, Jung Woo Choi2, Dae Jin Song1, Young Yoo1, Kwang Chul Lee1, Chang Sung Son1
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
2Department of Pathology, College of Medicine, Korea University, Seoul, Korea
일과성의 홍반성 피부병변을 동반한 소아 Kikuchi병 1례
장지민1, 우철희1, 최성우2, 송대진1, 유영1, 이광철1, 손창성1
1고려대학교 의과대학 소아과학교실
2고려대학교 의과대학 병리학교실
Correspondence: 
Chang Sung Son, Email: pedson@ns.kumc.or.kr
Abstract
Histiocytic necrotizing lymphadenitis, which is also commonly referred to as Kikuchi's disease (KD), is a self-limiting disease of unknown etiology. It affects individuals of all ages, although it is usually seen in young women. However, only a few descriptions of this disease are available in the pediatric literature. KD is clinically characterized by cervical lymphadenopathy, high fever, myalgia, neutropenia and, rarely, cutaneous eruptions. Cutaneous manifestations have been reported in 16-40 percent of KD cases. The specific skin changes occurring in cases of KD have yet to be completely characterized. In most of the reported cases thus far, the lesions have been located on the face and upper extremities. In this report, we describe a case of pediatric Kikuchi's disease, occurring in a 9- year-old boy. The boy exhibited transient erythematous maculopapular skin lesions over the entirety of his body, including his lower extremities.
Key Words: Histiocytic necrotizing lymphadenitis , Kikuchi's disease , Erythematous maculopapular skin lesion


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