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Kikuchi-Fujimoto lymphadenitis with cutaneous involvement.

L Rakic1, J E Arrese, A Thiry

  • 1Department of Dermatopathology, CHU Sart Tilman, University of Liège, Belgium.

Journal of the European Academy of Dermatology and Venereology : JEADV
|November 24, 1999
PubMed
Summary

This case report details Kikuchi-Fujimoto disease in a European man, highlighting its underdiagnosis and varied skin presentations. Histology is key for identifying this rare condition, often mistaken for other dermatoses.

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Area of Science:

  • Pathology
  • Dermatology
  • Immunology

Background:

  • Kikuchi-Fujimoto disease (KFD) is a rare, self-limiting lymphadenopathy, typically affecting young women of Asian descent.
  • Cutaneous involvement in KFD is uncommon, presenting diagnostic challenges due to its mimicry of other skin conditions.
  • The etiology of KFD remains unclear, with ongoing research into potential viral or autoimmune triggers.

Observation:

  • A case of KFD with significant cutaneous manifestations is presented in a European male, an atypical demographic.
  • The patient presented with skin lesions that clinically resembled lymphomas and other immune-mediated dermatoses.
  • Histopathological examination of skin lesions revealed characteristic apoptotic plasmacytoid monocytes, aiding diagnosis.

Findings:

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  • The study emphasizes the importance of histological analysis for diagnosing KFD, particularly in cases with protracted lymphadenitis.
  • Cutaneous lesions in KFD can be diagnostically misleading, necessitating careful histopathological correlation.
  • Apoptotic plasmacytoid monocytes in skin biopsies serve as a crucial diagnostic marker for KFD.

    • Implications:

    • This case suggests KFD may be under-recognized in non-Asian populations and males, especially when presenting with skin lesions.
    • Accurate diagnosis of KFD is crucial to avoid misclassification as lymphoma or other inflammatory dermatoses, preventing unnecessary treatments.
    • Further research is warranted to elucidate the pathogenesis of KFD and its association with other autoimmune conditions like lupus erythematosus.