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Reading: Kikuchi-Fujimoto’s disease: a case series from Sri Lanka

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Kikuchi-Fujimoto’s disease: a case series from Sri Lanka

Authors:

RA Abeysekara ,

Medical Unit, Teaching Hospital Peradeniya, LK
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SAM Kularatne,

Department of Medicine, Faculty of Medicine, University of Peradeniya, LK
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R Waduge,

Department of Pathology, Faculty of Medicine, University of Peradeniya, LK
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AGW Sandeepana,

Medical Unit, Teaching Hospital Peradeniya, LK
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JMRP Bandara,

Medical Unit, Teaching Hospital Peradeniya, LK
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IVB Imbulpitiya

Medical Unit, Teaching Hospital Peradeniya, LK
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Abstract

Introduction Kikuchi’s disease is a rare, benign, selflimiting disease, mainly involving the lymph nodes of young people. The etiology is unknown. Clinical symptoms and basic investigations may mimic lymphomas and chronic granulomatous conditions like tuberculosis. Lymph node biopsy shows characteristic diagnostic features. Even though described internationally, the local disease pattern or incidence has not been well studied.

Methods We studied all patients who were diagnosed with Kikuchi's disease at Teaching Hospital, Peradeniya from January 2011 to April 2012.

Results A total of 9 cases showed histopathological features of Kikuchi's disease. All patients were females, in the age group of 12-30 years having fever and lymphadenopathy. They carried a provisional diagnosis of lymphoma, tuberculosis or reactive lymphadenitis.

Conclusions Necrotising lymphadenitis has a predilection for cervical lymph nodes of females and is usually accompanied by fever. Clinical features can resemble tuberculous lymphadenitis or malignant lymphoma. Excision biopsy of the involved node is mandatory for the diagnosis.

DOI: http://dx.doi.org/10.4038/cmj.v58i1.5362

Ceylon Medical Journal 2013; 58: 31-33

DOI: https://doi.org/10.4038/cmj.v58i1.5362
How to Cite: Abeysekara, R., Kularatne, S., Waduge, R., Sandeepana, A., Bandara, J. and Imbulpitiya, I., 2013. Kikuchi-Fujimoto’s disease: a case series from Sri Lanka. Ceylon Medical Journal, 58(1), pp.31–33. DOI: http://doi.org/10.4038/cmj.v58i1.5362
Published on 01 Apr 2013.
Peer Reviewed

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