KIKUCHI-FUJIMOTO DISEASE- A COMMON BUT RARELY DIAGNOSED DISEASE- CASE REPORT AND REVIEW OF LITERATURE
Hemant Kumar*, Rajaguru Paramaguru and Sangeet Kumar Agarwal
ABSTRACT
Kikuchi fujimoto disease is a self limiting lymphadenitis of unknown
aetiology which mostly involves cervical lymph nodes and rarely
needs steroid for treatment. Most of the time, this disease is
misdiagnosed as tuberculosis, lymphoma, SLE etc. So awareness of
this disease among clinician and pathologist can avoid misdiagnosis
and inappropriate treatment. We hereby report this disease in a 29 year
old female who was referred with tender cervical lymph node on the
left side and fever for 3 months. Patient had been misdiagnosed as
tubercular lymphadenitis and was given anti tubercular therapy for 2
months. Since there was no response, patient was referred to us. We
performed FNAC & biopsy of the lymph node and histopathology report showed features
suggestive of kikuchi fujimoto disease. Patient was started on prednisolone of 1mg/kg for 2
months and then tapered for another 6 month following which the patient became
asymptomatic with non palpable lymphnodes.
Keywords: Kikuchi Fujimoto disease, lymphadenitis, Anti Tubercular Therapy, Prednisolone.
[Full Text Article]