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Kikuchi-fujimoto disease with bilateral uveitis.
Hope R Garner1, Hilary E Fazzone, Daniel E Meltzer
1Department of Radiology, St. Luke's-Roosevelt Hospital Center, New York, NY, USA.
Journal of Radiology Case Reports
|April 4, 2012
Summary
Kikuchi-Fujimoto disease (KFD), a rare condition causing lymphadenitis and fever, can present with unusual ocular symptoms. This case highlights KFD associated with bilateral anterior uveitis and MRI findings.
Area of Science:
- Ophthalmology
- Pathology
- Radiology
Background:
- Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare condition typically presenting with lymphadenitis and fever.
- KFD is often linked to infectious agents, particularly viruses, and systemic inflammatory processes.
Purpose of the Study:
- To report a rare case of Kikuchi-Fujimoto disease (KFD) presenting with bilateral anterior uveitis.
- To correlate the clinical ocular findings with magnetic resonance imaging (MRI) findings in KFD.
Main Methods:
- Case report detailing clinical presentation and diagnostic workup.
- Review of medical literature for similar presentations of KFD with ocular manifestations.
- Magnetic resonance imaging (MRI) of the orbits and brain.
Main Results:
- The patient presented with symptoms consistent with Kikuchi-Fujimoto disease and bilateral anterior uveitis.
- Magnetic resonance imaging (MRI) revealed specific findings associated with the ocular inflammation.
- Literature review confirmed the rarity of ocular involvement in KFD.
Conclusions:
- Kikuchi-Fujimoto disease (KFD) can manifest with rare ocular complications such as bilateral anterior uveitis.
- Magnetic resonance imaging (MRI) can provide valuable insights into the extent and nature of ocular involvement in KFD.
- This case underscores the importance of considering KFD in the differential diagnosis of unexplained anterior uveitis, especially when accompanied by systemic symptoms.
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