All issues > Volume 43(9); 2000

Case Report

J Korean Pediatr Soc. 2000;43(9):1285-1289. Published online September 15, 2000.

A Recurred Case of Subacute Necrotizing Lymphadenitis(Kikuchi`s Disease) During Childhood

Jin Sun JS Park¹, Chang Hee CH Oh¹, Je Woo JW Kim¹, Phil Soo PS Oh¹, Young Ah YA Lee¹, He Sun HS Yun¹, Jung Weon JW Shim²

¹Department of Pediatrics, KangNam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea
²Department of Pathology, KangNam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea

Abstract

Subacute necrotizing lymphadenitis, or Kikuchi`s disease, primarily affects the cervical lymph nodes of young adults and has a self-limited clinical course. Differential diagnoses are malignant lymphoma and systemic lupus erythematosus. Recurrence rate is low as 3.3%, and there have been a few reports describing the recurrence of the disease. The symptoms in almost all recurrent cases were similar to those of the early stages of the disease. The etiology of the disease remains unknown, but various viral infections and autoimmune processes have been postulated to be the cause. A 6-year-old boy presented with a fever of approximately 40℃, painless lumps on both sides of the neck, and intermittent abdominal pain for 2 weeks. Subacute necrotizing lymphadenitis was diagnosed 3 years before admission, which was reported by us in 1996. Diagnosis of recurred subacute necrotizing lymphadenitis was confirmed by histological examination of the lymph node. We report a recurred case of subacute necrotizing lymphadenitis during childhood.

Keywords :Recurred, Subacute necrotizing lymphadenitis, Kikuchi`s disease, Childhood