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Case Reports
. 2017 Jun 28:27:144.
doi: 10.11604/pamj.2017.27.144.12102. eCollection 2017.

[Kikuchi-Fujimoto disease: about a case]

[Article in French]
Sanaa Elfihri  1 , Mustapha Laine  1 , Fouad Kettani  2 , Jaouda Ben Amor  1 , Jamel Eddine Bourkadi  1
Affiliations
Case Reports

[Kikuchi-Fujimoto disease: about a case]

[Article in French]
Sanaa Elfihri et al. Pan Afr Med J. .

Abstract
in English, French

Kikuchi-Fujimoto disease or histiocytic necrotizing lymphadenitis is a rare cause of benign cervical adenopathies. It is an anatomoclinic entity of unknown cause. Diagnosis is based on histologic examination of the lymph nodes. Patient's evolution is generally favorable with spontaneous healing after a few weeks. We here report the case of a 9-year old girl presenting with cervical lymphadenopathy associated with fever. Cervical lymph node biopsy showed Kikuchi-Fujimoto disease. Patient's evolution was marked by regression of adenopathies without receiving any treatment.

La maladie de Kikuchi-Fujimoto ou lymphadénite histyocytaire nécrosante constitue une cause rare et bénigne d’adénopathies cervicales. C’est une entité anatomoclinique d’étiologie inconnue. La confirmation du diagnostic est toujours apportée par l’étude histologique ganglionnaire. L’évolution est généralement favorable avec guérison spontanée au bout de quelques semaines. Nous rapportons l’observation d’une fille de 9ans ayant consultée pour des adénopathies cervicales associées à une fièvre. La biopsie ganglionnaire cervicale a conclu à une maladie de Kikuchi. L’évolution était marquée par la régression des adénopathies sans aucun traitement.

Keywords: Kikuchi-Fujimoto disease; adenopathies; histiocytic necrotizing lymphadenitis.

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Figures

Figure 1
Figure 1
Radiographie thoracique: opacités hilaires
Figure 2
Figure 2
Echostructures ovoïdes hypoéchogènes
Figure 3
Figure 3
Foyers de nécrose bordés par des histiocytes et de cellules immunoblastiques. HES Gx100
Figure 4
Figure 4
HES Gx400
Figure 5
Figure 5
Foyers de nécrose bordés par des histiocytes spumeux et de cellules immunoblastiques atypiques. HES Gx400
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