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Subacute Necrotizing Lymphadenitis in a 3 Year-Old Male Child

Journal of the Korean Pediatric Society 1996;39(10):1443-1447.
Published online October 15, 1996.
Subacute Necrotizing Lymphadenitis in a 3 Year-Old Male Child
You Mee Heo1, Seong Koo Kim1, Young Ah Lee1, Dae Gil Lee1, Ha Ju Choi1, Woo Kap Chung1, Jung Won Shin2
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Pathology, College of Medicine, Hallym University, Seoul, Korea
3세 남아에서 발생한 아급성 괴사성 림프절염 1례
허유미1, 김성구1, 이영아1, 이대길1, 최하주1, 정우갑1, 심정원2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 병리학교실
Abstract
Subacute necrotizing lymphadenitis is a benign form of lymphadenitis that was first described in Japan by Kikuchi in 1972. It mainly affects young women and usually manifests as fever and lymphadenopathy. Although it is a benign self-limited lymphadenitis, it has been misdiagnosed as malignant lymphoma. Histologically, involved lymph nodes contain a necrotizing process characterized by patch, well-circumscribed area with eosinophilic fibrinoid material. There is a striking degree of karyorrhexis and an absence of granulocyte with paucity of plasma cell. We expereinced a case of subacute necrotizing lymphadenitis in a 3 year old boy. There was spontaneous resolution of fever and lymphadenopathy, and now he keeps doing well.
Key Words: Subacute necrotizing lymphadenitis, Kikuchi's disease


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