Journal of the Korean Pediatric Society 2000;43(9):1285-1289.
Published online September 15, 2000.
A Recurred Case of Subacute Necrotizing Lymphadenitis(Kikuchi`s Disease) During Childhood
Jin Sun Park1, Chang Hee Oh1, Je Woo Kim1, Phil Soo Oh1, Young Ah Lee1, He Sun Yun1, Jung Weon Shim2
1Department of Pediatrics, KangNam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea
2Department of Pathology, KangNam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea
소아기에 재발된 아급성 괴사성 림프절염(Subacute Necrotizing Lymphadenitis; Kikuchi’s Disease) 1례
박진선1, 오창희1, 김제우1, 오필수1, 이영아1, 윤혜선1, 심정원2
1한림대학교 의과대학 강남성심병원 소아과
2한림대학교 의과대학 강남성심병원 해부병리학과
Abstract
Subacute necrotizing lymphadenitis, or Kikuchi`s disease, primarily affects the cervical lymph nodes of young adults and has a self-limited clinical course. Differential diagnoses are malignant lymphoma and systemic lupus erythematosus. Recurrence rate is low as 3.3%, and there have been a few reports describing the recurrence of the disease. The symptoms in almost all recurrent cases were similar to those of the early stages of the disease. The etiology of the disease remains unknown, but various viral infections and autoimmune processes have been postulated to be the cause. A 6-year-old boy presented with a fever of approximately 40℃, painless lumps on both sides of the neck, and intermittent abdominal pain for 2 weeks. Subacute necrotizing lymphadenitis was diagnosed 3 years before admission, which was reported by us in 1996. Diagnosis of recurred subacute necrotizing lymphadenitis was confirmed by histological examination of the lymph node. We report a recurred case of subacute necrotizing lymphadenitis during childhood.
Key Words: Recurred, Subacute necrotizing lymphadenitis, Kikuchi`s disease, Childhood


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