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A Rare Case of Kikuchi Fujimoto’s Disease with Subsequent Development of Systemic Lupus Erythematosus
- Source :
- Case Reports in Rheumatology, Case Reports in Rheumatology, Vol 2012 (2012)
- Publication Year :
- 2012
- Publisher :
- Hindawi Limited, 2012.
-
Abstract
- Kikuchi Fujimoto’s disease (KFD) is a rare, immune-mediated, self-limiting disorder with unique histopathological features. KFD is usually seen in young Asian females; however, cases have been reported throughout the world and in all ethnicities. It has been recognized that there is a rare association between Systemic Lupus Erythematosus (SLE) and KFD via sporadic case reports. The exact pathophysiological relationship between these two diseases is still unclear. We report a case of a young Asian female who presented with persistent fever and lymphadenopathy and was diagnosed with Kikuchi Fujimoto’s disease based on lymph node biopsy; although an SLE workup was done, she did not meet the American Rheumatology Association (ARA) diagnostic criteria for lupus, and the lymph node biopsy did not show features of SLE. She improved clinically with a short course of steroid therapy. Two months later, the patient presented with central facial rash and arthralgia. SLE workup was repeated, a skin biopsy was done, and the results at this time supported a diagnosis of SLE.
- Subjects :
- medicine.medical_specialty
Pathology
lcsh:Diseases of the musculoskeletal system
Systemic lupus erythematosus
medicine.diagnostic_test
business.industry
Persistent fever
Lymph node biopsy
Case Report
General Medicine
Disease
Facial rash
medicine.disease
Dermatology
Rheumatology
immune system diseases
Internal medicine
Rare case
Skin biopsy
medicine
lcsh:RC925-935
skin and connective tissue diseases
business
Subjects
Details
- ISSN :
- 20906897 and 20906889
- Volume :
- 2012
- Database :
- OpenAIRE
- Journal :
- Case Reports in Rheumatology
- Accession number :
- edsair.doi.dedup.....b16f21b9e550c5447c93c55dc32bc6f2
- Full Text :
- https://doi.org/10.1155/2012/325062