An uncommon presentation of Kikuchi-Fujimoto disease as mediastinal lymphadenopathy

被引：3

作者：

Hino, Haruaki ^{[1
,2
]}

Nishimura, Takashi ^{[1
,2
]}

Nitadori, Jun-ichi ^{[1
,2
,3
]}

Miyakoshi, Shigesaburo ^{[4
]}

Seki, Atsuko ^{[5
]}

Arai, Tomio ^{[5
]}

Nakajima, Jun ^{[1
,2
,3
]}

机构：

[1] Tokyo Metropolitan Geriatr Hosp, Dept Thorac Surg, Tokyo 1730015, Japan

[2] Inst Gerontol, Tokyo 1730015, Japan

[3] Univ Tokyo, Grad Sch Med, Dept Thorac Surg, Tokyo, Japan

[4] Tokyo Metropolitan Geriatr Hosp, Dept Hematol, Tokyo 1730015, Japan

[5] Tokyo Metropolitan Geriatr Hosp, Dept Pathol, Tokyo 1730015, Japan

来源：

JOURNAL OF THORACIC DISEASE | 2016年 / 8卷 / 05期

关键词：

Video-assisted surgery; histiocytic necrotizing lymphadenitis; tuberculosis; mediastinum;

D O I：

10.21037/jtd.2016.03.78

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

We experienced an uncommon presentation of Kikuchi-Fujimoto disease (KFD) with sole mediastinal lymphadenopathy in senior age, which was histologically diagnosed by thoracoscopic biopsy leading to appropriate therapy. A 69-year-old man was admitted due to intermittent high fever, general malaise, and appetite loss lasting over 3 months along with 10-kg weight loss in 6 months. Chest computed tomography (CT) showed isolated mediastinal lymphadenopathy, and malignant diseases including malignant lymphoma or metastatic carcinoma, tuberculous lymphadenitis, and sarcoidosis were considered. Therefore thoracoscopic biopsy should be performed for the correct diagnosis, even in uncommon portion of lymph node swelling and age for KFD.

引用

页码：E330 / E333

页数：4

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