Kikuchi's disease: a case report from west india

Abstract

Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare benign, self-limiting cervical lymphadenitis of unknown etiology. It closely mimic infective and immunological disorders. CASE REPORT- we report a 20-year-old male of west  presented with multiple neck swellings and fever of 15 days duration.  Clinical Examination revealed unilateral large, mobile and tender-cervical lymphadenopathy. Lymph nodes were not palpable in other parts of the body. Examination of other systems was normal. Routine hematological parameters were within normal limits. ESR was 90mm/1st hr. Fine needle aspiration cytology (FNAC) of the right supraclavicular cervical node showed features suggestive of reactive lymphadenitis. After that, lymph node biopsy was done and the histological features suggested the diagnosis of Kikuchi-Fujimoto disease.  The Patient was treated symptomatically with nonsteroidal anti-inflammatory drugs and the lymph nodes regressed in four weeks.  Conclusion- Although the incidence of Kikuchi-Fujimoto disease is rare, Kikuchi Fujimoto disease is considered a disorder with a self-limited course and af avorable outcome.