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KMID : 0390220060170020285
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2006 Volume.17 No. 2 p.285 ~ p.287
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A Case of Systemic Lupus Erythematosus Presenting as Cervical Masses
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Han Cheol-Woo
Koo Soo-Kweon
Kim Tae-Heon
Myung Nam-Suk
Kim Tae-Won
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Abstract
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Systemic lupus erythematosus (SLE), a kind of autoimmune disease of unknown cause, affects young females predominantly. It causes non-specific symptoms such as fever, chilling, myalgia, abdominal pain and can lead to specific
organ dysfunction such as glomerulonephritis, pericarditis and pleuritis. We examined a 22-year-old female presented with neck masses, fever, chilling and sore throat. Two neck masses were palpated on level II/III with softness and tenderness. The patient was treated under the impression of reactive cervical lymphadenitis and Kikuchi’s disease. But she didn’t respond to antibiotics treatment and referred to a tertiary hospital due to decreased mentality and pleural effusion, where she was diagnosed as SLE and lupus lymphadenitis. So we report this case with a review of literatures.
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KEYWORD
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SLE, Kikuchi’s disease, Neck mass
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