Abstract

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.