Kikuchi-Fujimoto's disease (KFD) or histiocytic necrotizing lymphadenitis is a self-limited cause of cervical lymphadenopathy. First described by Kikuchi and Fujimoto in 1972, its history dates back to the late 1960s. 1 At that time, the National Cancer Institute had organized the Lymphoma Task Force whose objective was to review pathology specimens for confirmation of diagnoses. 1 The task force identified 108 cases, some who had already started chemotherapy, that were misdiagnosed as lymphoma and actually represented "an unusual form of necrotizing lymphadenitis." 1 Reporting these findings in 1973, these patients were identified as having KFD. Subsequent cases surfaced throughout the world's literature, all describing a clinical entity that had been mistaken for lymphoma, lupus, and an assortment of infectious diseases. 1,2 We present a patient with KFD to further illustrate the varied clinical presentation of this disease. CASE REPORTA 26-year-old white women presented with a 3-day history of a painful neck mass, fevers, and myalgias. She had no medical history, and she was healthy until 3 days before presentation when she began feeling malaise and noted a right sided neck mass. On physical examination, the patient was vomiting and had a temperature of 40°C. She had a 5 × 7 cm right cervical mass that was tender to palpation, erythematous, and mobile. There was no ulceration or drainage. Her skin was warm to palpation, but there was no rash, petechia, or purpura. She had no hepatosplenomegaly and no other lymphadenopathy. Her white blood cell count was 5.2 with a normal differential.Please send your change of address notification at least six weeks before your move to ensure continued service. We regret we cannot guarantee replacement of issues missed due to late notification.

BTX-B is stable for prolonged periods of time, requires no preparation before use, and is antigenetically distinct from BTX-A.

Advancement of the female hairline by incorporating an irregular trichophytic incision and a posterior scalp advancement flap is an effective and safe technique that has been used by the senior author for more than 2 decades. The average advancement was 2.1 cm in this study. The technique is immediately effective, well tolerated by patients, and associated with minimal complications. Although it is associated with a potentially visible incision, this technique can be used to make the scar virtually invisible.

The clinician should be aware that the evaluation of a patient with asymmetric sensorineural hearing loss involves more than simply ruling out an acoustic neuroma. Fast-spin echo MRI techniques without the use of gadolinium contrast could miss a number of potentially treatable diseases such as chronic pachymeningitis. Patients with asymmetric sensorineural hearing loss should be carefully evaluated for other neurologic findings, and imaging with enhanced MRI is recommended.

Objectives: To review a technique and to make quantitative analyses of the senior author's 20-year experience with his preferred technique to correct the high female hairline.Methods: A retrospective review of 29 female patients who underwent the hairline-lowering procedure performed by the same surgeon (S.S.K.). We analyzed preoperative and postoperative standardized photographs by taking measurements from the medial and lateral canthi to the anterior hairline. Facial height, from the menton to the hairline, was also measured. We calculated mean values and then used a 2-tailed, paired t test to evaluate for statistical significance. Patients also underwent evaluation for satisfaction, complications, and aesthetic result. We reevaluated the measurements from the profile view and compared them with the original data. Results:The photographed midfrontal hairline position was vertically lowered on average 1.3 cm in patients who underwent a single-stage procedure (PϽ.001).