Enfermedad de Kikuchi-Fujimoto en región inguinal

Fernández, G. Blanco; Duran, E.; Cortés, Luis Zarallo; Núñez, Rosa; Sánchez, Emilio Blesa

doi:10.1016/s1695-4033(02)78958-3

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2013

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“…# EQOOQP ſPFKPI KU VJG CDUGPEG QH PGWVTQRJKNU CPF plasma cells. 21 Immunohistiochemical study shows a predominance of T cells, both CD8 + and CD4 + , and some B cells.…”

Section: Discussionmentioning

confidence: 97%

Kikuchi- Fujimoto Disease of Mesenteric Lymph Nodes Mimicking Acute Appendicitis

et al. 2013

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Kikuchi-Fujimoto disease, or histiocytic necrotising lymphadenopathy of unknown aetiology, is a rare, benign and self-limiting cause of lymphadenopathy often involving the cervical nodes, and rarely presenting with mesenteric lymphadenopathy. We present a 26-year-old Caucasian male, who presented with right iliac fossa pain and low grade pyrexia, mimicking acute appendicitis. He underwent a laparatomy and an extended right hemi-colectomy for a caecal mass. Histology of the specimen showed lymph nodes with extensive areas of necrosis, with abnormal architecture suggesting Kikuchi-Fujimoto lymphadenopathy. This was further confirmed by immunohistochemistry. In this context maintenance of a high index of suspicion of this condition can avoid major surgical interventions. We describe the management of our case of Kikuchi-Fujimoto’s disease involving the mesenteric nodes and provide an up to date review of the pertinent literature on this subject. Keywords: abdominal mass; Kikuchi- Fujimoto disease; mesenteric lymphadenopathy; necrotising lymphadenitis.

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“…# EQOOQP ſPFKPI KU VJG CDUGPEG QH PGWVTQRJKNU CPF plasma cells. 21 Immunohistiochemical study shows a predominance of T cells, both CD8 + and CD4 + , and some B cells.…”

Section: Discussionmentioning

confidence: 97%