• Sao Paulo Med J · Jul 2010

    Review Case Reports

    Kikuchi-Fujimoto disease: three case reports.

    • Alexandre de Andrade Sousa, João Marcos Arantes Soares, Marco Homero de Sá Santos, Marcelo Portes Rocha Martins, and José Maria Porcaro Salles.
    • Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. avras@bol.com.br
    • Sao Paulo Med J. 2010 Jul 1; 128 (4): 232235232-5.

    ContextKikuchi-Fujimoto disease (KFD) manifests in most cases as unilateral cervical lymphadenomegaly, with or without accompanying fever. The disease mainly affects young women and has a self-limited course. It is more common in oriental countries, with few reports of its occurrence in Brazil. KFD should be included in the differential diagnosis of suspected cases of viral infections, tuberculosis, reactive lymphadenitis, systemic lupus erythematosus and metastatic diseases. It can be histologically confused with lymphoma. The disease is benign and self-limiting and an excisional biopsy of an affected lymph node is necessary for diagnosis. There is no specific therapy.Case ReportsThis study reports on three cases of non-Asian female patients with KFD who were attended at our service between 2003 and 2006. A review of the literature was carried out, with a systematic search on this topic, with the aim of informing physicians about this entity that is manifested by cervical masses and fever.

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