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KMID : 0383819910380030297
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Tuberculosis and Respiratory Diseases
1991 Volume.38 No. 3 p.297 ~ p.303
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A Review of Subacute Necrotizing Lymphadenitis
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장창훈/Chang Hoon Jang
권순석/김영균/김관형/한기돈/문화식/송정섭/박성학/Soon Seog Kwon/Young Kyoon Kim/Kwan Hyoung Kim/Ki Don Han/Hwa Sik Moon/Jeong Sup Song/Sung Hak Park
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Abstract
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Subacute necrotizing lymphadenitis is characterized by cervical lymphadenpathy in
young patients and mistaken for malignant disease both clinically and histologically.
Microscopically, there is a varying degree of effacement of the lymph node architecture
and necrosis with an infiltrate of histiocytic cells and absence of polymorphs. We have
experienced 4 cases of cervical lymphadenopathy accompanied by fever. All cases had
complete recovery to conservative treatment only. The excised lymph nodes were
moderately enlarged and typically showed varying degree of necrotizing lesions, and
abundant karyorrhectic debris, scattered fibrin deposits, aggregates of large mononuclear
cells, and a paucity of plasma cell and neutrophils. For investigating the etiology and
pathogenesis of this lesion, further clinical study and stepwise pathologic and
immunologic planning would be valuable.
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KEYWORD
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