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KMID : 0361020110540120859
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Korean Journal of Otolaryngology - Head and Neck Surgery
2011 Volume.54 No. 12 p.859 ~ p.861
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A Case of Kikuchi’s Disease Associated with Hemophagocytic Syndrome
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Kim Hyun-Ji
Park Jin-Young
Chung Sung-Min
Kim Han-Su
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Abstract
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Kikuchi’s disease and hemophagocytic syndrome have the clinical similarity in initial presentations, but present different clinical course and prognosis. Kikuchi’s disease usually have a self-limiting clinical course, but hemophagocytic syndrome can be fatal. It is important to make differential diagnoses and treat properly. We report a case of 18 year old boy who was admitted to the hospital with two weeks history of fever and progressive cervical lymph node swelling. Cervical lymph node biopsy showed the typical necrotizing lymphadenitis of Kikuchi’s disease. There were signs of histiocytosis and hemophagocytic phenomenon in the bone marrow. The etiology, treatment, and prognosis of Kikuchi’s disease with hemophagocytic syndrome are discussed.
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KEYWORD
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Histiocytic necrotizing lymphadenitis, Hemophagocytic syndrome
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