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Kikuchi-Fujimoto disease: A comprehensive review
Vikram K Mahajan1, Vikas Sharma2, Neeraj Sharma2
1Department of Dermatology, Venereology and Leprosy, Dr. Radhakrishnan Government Medical College, Hamirpur 177001, Himachal Pradesh, India. vkm1@rediffmail.com.
Kikuchi-Fujimoto disease (KFD) is a rare, self-limiting lymph node disorder affecting young adults. Diagnosis requires careful histopathology, as KFD can mimic other conditions like lymphoma and lupus.
Area of Science:
- Immunology
- Pathology
- Rheumatology
Background:
- Kikuchi-Fujimoto disease (KFD) is a rare, benign, self-limiting necrotizing lymphadenitis of unknown cause.
- It primarily affects young adults, presenting with fever and lymphadenopathy, and can have cutaneous manifestations.
- KFD shares a complex relationship with systemic lupus erythematosus (SLE) and is often misdiagnosed.
Purpose of the Study:
- To review the clinicoepidemiological, diagnostic, and management aspects of KFD.
- To highlight the diagnostic challenges and differential diagnoses of KFD.
- To provide insights for practicing clinicians managing KFD.
Main Methods:
- Review of clinicoepidemiological data.
- Analysis of diagnostic modalities, including histopathology.
- Evaluation of current management strategies.
Main Results:
- KFD presents with fever and lymphadenopathy, with variable cutaneous involvement in 30-40% of cases.
- Differential diagnoses include lymphoma, SLE, and infectious lymphadenitis.
- Fine needle aspiration cytology is often nonspecific; histopathology is diagnostic.
Conclusions:
- Accurate diagnosis of KFD relies on careful histopathological evaluation of lymph node biopsies.
- Early biopsy is crucial to avoid unnecessary investigations and empirical treatments.
- Management, often empirical, may involve corticosteroids or hydroxychloroquine.
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