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KMID : 0357920070410010044
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Korean Journal of Pathology
2007 Volume.41 No. 1 p.44 ~ p.46
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Kikuchi’’s Disease of the Mesenteric Lymph Nodes Presenting as Acute Appendicitis
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Min Kyueng-Whan
Jang Ki-Seok
Jang Si-Hyong
Song Young-Soo
Na Woong
Paik Seung-Sam
Song Soon-Young
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Abstract
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Kikuchi’’s disease is a benign self-limiting necrotizing lymphadenitis that occurs most commonly in young women, and is usually found in the cervical lymph nodes. When there is an unusual location of involved lymph nodes, the diagnosis can be difficult. We recently treated a patient with Kikuchi’’s disease who had ileocecal mesenteric lymph node involvement; the patient presented with symptoms of acute appendicitis in an 11-year old boy. Although mesenteric lymph node involvement of Kikuchi’’s disease is very rare, Kikuchi’’s disease should be added to the differential diagnosis of acute appendicitis in patients with enlarged ileocecal mesenteric lymph nodes on radiological evaluation.
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KEYWORD
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Kikuchi’s disease, Mesentery, Lymph node, Appendicitis
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