Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos

Histiocytic necrotizing lymphadenitis (also known as Kikuchi-Fujimoto's disease) is an uncommon, benign and self-limiting lymph disease. We report three patients aged 14, 22 and 50 years, who presented with fever and cervical lymphadenopathy, accompanied by skin lesions and joint pain in two of...

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Autores principales: Sepúlveda P,Luis, Olivares A,Felipe, Munjin P,Aleksandar, Morán C,Nicolás
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500015
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spelling oai:scielo:S0034-988720130005000152013-09-26Linfadenitis necrotizante histiocitaria: Comunicación de 3 casosSepúlveda P,LuisOlivares A,FelipeMunjin P,AleksandarMorán C,Nicolás Autoimmunity Histiocytic Necrotizing Lymphadenitis Kikuchi-Fujimoto’s Disease Histiocytic necrotizing lymphadenitis (also known as Kikuchi-Fujimoto's disease) is an uncommon, benign and self-limiting lymph disease. We report three patients aged 14, 22 and 50 years, who presented with fever and cervical lymphadenopathy, accompanied by skin lesions and joint pain in two of the three cases. One of the patient's sister suffered from histiocytic necrotizing lymphadenitis. Laboratory abnormalities varied and findings included leucopenia, relative neutrophilia, elevated C reactive protein, erythrocyte sedimentation rate and ferritin. Basic laboratory screening tests were performed on all patients to rule out autoimmune and infectious diseases. Lymph node biopsy and subsequent pathological examination were essential to establish the diagnosis. All patients received antibiotics at some point of their hospital stay. Two patients required glucocorticoid treatment, while the remaining case experienced a spontaneous recovery. Its pathogenesis is still unknown, but clinical and histopathological studies suggest a connection with autoimmune diseases. There is no established treatment, but apparently the disease responds to the administration of glucocorticoids.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.5 20132013-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500015es10.4067/S0034-98872013000500015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Autoimmunity
Histiocytic Necrotizing Lymphadenitis
Kikuchi-Fujimoto’s Disease
spellingShingle Autoimmunity
Histiocytic Necrotizing Lymphadenitis
Kikuchi-Fujimoto’s Disease
Sepúlveda P,Luis
Olivares A,Felipe
Munjin P,Aleksandar
Morán C,Nicolás
Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
description Histiocytic necrotizing lymphadenitis (also known as Kikuchi-Fujimoto's disease) is an uncommon, benign and self-limiting lymph disease. We report three patients aged 14, 22 and 50 years, who presented with fever and cervical lymphadenopathy, accompanied by skin lesions and joint pain in two of the three cases. One of the patient's sister suffered from histiocytic necrotizing lymphadenitis. Laboratory abnormalities varied and findings included leucopenia, relative neutrophilia, elevated C reactive protein, erythrocyte sedimentation rate and ferritin. Basic laboratory screening tests were performed on all patients to rule out autoimmune and infectious diseases. Lymph node biopsy and subsequent pathological examination were essential to establish the diagnosis. All patients received antibiotics at some point of their hospital stay. Two patients required glucocorticoid treatment, while the remaining case experienced a spontaneous recovery. Its pathogenesis is still unknown, but clinical and histopathological studies suggest a connection with autoimmune diseases. There is no established treatment, but apparently the disease responds to the administration of glucocorticoids.
author Sepúlveda P,Luis
Olivares A,Felipe
Munjin P,Aleksandar
Morán C,Nicolás
author_facet Sepúlveda P,Luis
Olivares A,Felipe
Munjin P,Aleksandar
Morán C,Nicolás
author_sort Sepúlveda P,Luis
title Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
title_short Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
title_full Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
title_fullStr Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
title_full_unstemmed Linfadenitis necrotizante histiocitaria: Comunicación de 3 casos
title_sort linfadenitis necrotizante histiocitaria: comunicación de 3 casos
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500015
work_keys_str_mv AT sepulvedapluis linfadenitisnecrotizantehistiocitariacomunicacionde3casos
AT olivaresafelipe linfadenitisnecrotizantehistiocitariacomunicacionde3casos
AT munjinpaleksandar linfadenitisnecrotizantehistiocitariacomunicacionde3casos
AT morancnicolas linfadenitisnecrotizantehistiocitariacomunicacionde3casos
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