All issues > Volume 39(10); 1996

Case Report

J Korean Pediatr Soc. 1996;39(10):1443-1447. Published online October 15, 1996.

Subacute Necrotizing Lymphadenitis in a 3 Year-Old Male Child

You Mee YM Heo¹, Seong Koo SK Kim¹, Young Ah YA Lee¹, Dae Gil DG Lee¹, Ha Ju HJ Choi¹, Woo Kap WK Chung¹, Jung Won JW Shin²

¹Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
²Department of Pathology, College of Medicine, Hallym University, Seoul, Korea

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.

Keywords :Subacute necrotizing lymphadenitis, Kikuchi's disease