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  Vol. 133 No. 4, April 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 3: Diagnosis

Arch Otolaryngol Head Neck Surg. 2007;133(4):416.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Kikuchi-Fujimoto disease

Kikuchi-Fujimoto disease is a necrotizing lymphadenitis.1 Although the disease is more prevalent in Asia, cases have also been reported from all areas of the world. Most of the patients are young women (mean age, 25 years),2-3 but males and an older population of either sex may also be affected. Pediatric cases are rare.3-4

The patients frequently present with an enlargement of a cervical lymph node. Generalized lymphadenopathy has been reported in 0% to 22% of cases,1 and splenomegaly has been reported in a few cases.5 Unilateral neck involvement is dominant, with nodes in the posterior cervical triangle (level V)4 and jugular lymph node (level II).6 Affected lymph nodes have been found in all parts of the body, eg, in the parotid, supraclavicular fossa, and mediastinal regions and in extracervical areas (axillary3 and abdominal lymphadenopathy7). Fever is a common feature.3 There are no significant clinical or biologic signs.2, 4 On general . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 3
Olivier Choussy, Emmanuel Babin, Florence Le Pessot, Nicolas Bonmardion, Jean Paul Marie, and Daniele Dehesdin
Arch Otolaryngol Head Neck Surg. 2007;133(4):413.
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