J Korean Pediatr Soc.  2000 Sep;43(9):1285-1289.

A Recurred Case of Subacute Necrotizing Lymphadenitis(Kikuchi's Disease) During Childhood

• Park JS
• Oh CH
• Kim JW
• Oh PS
• Lee YA
• Yun HS
• Shim JW

Abstract

Subacute necrotizing lymphadenitis, or Kikuchi's disease, primarily affects the cervical lyrnph nodes of lung adults and has a self-limited clinical course. Differential diagnoses are malignant lymphoma and systemic lupus erythematosus. Recurrence rate is low as 3.3%, and there have been a few reports describing the recurrence of the disease. The symptoms in almost all recurrent cases were similar to those of the early stages of the disease. The etiology of the disease remains unknown, but various viral infections and autoimmune processes have been postulated to be the cause. A 6-year-old boy presented with a fever of approximately 40C degrees, painless lumps on both sides of the neck, and intermittent abdominal pain for 2 weeks. Subacute necrotizing lymphadenitis was diagnosed 3 years before admission, which was reported by us in 1996. Diagnosis of recurred subacute necrotizing lymphadenitis was confirmed by histological examination of the lymph node. We report a recurred case of subacute necrotizing lymphadenitis during childhood.

Keyword

Recurred; Subacute necrotizing lymphadenitis; Kikuchi's disease; Childhood

MeSH Terms

Abdominal Pain
Adult
Child
Diagnosis
Diagnosis, Differential
Fever
Histiocytic Necrotizing Lymphadenitis
Humans
Lung
Lupus Erythematosus, Systemic
Lymph Nodes
Lymphadenitis
Lymphoma
Male
Neck
Recurrence