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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-05
Kikuchi Fujimoto Disease presenting as Axillary Mass: A Case Report and Review of Literature
Gunjan Agarwal, Hemant Jain, Pankaj choudhary, Amit Jain
Published: May 31, 2017 | 69 58
DOI: 10.36347/sjams.2017.v05i05.013
Pages: 1782-1785
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Abstract
Kikuchi Fujimoto disease is benign necrotizing histiocytic lymphadenitis. We report a case of 27 years old Indian female who came to us with right axillary mass and constitutional symptoms for two months. Excisional biopsy was done, which showed histological features of kikuchi fujimoto disease. KFD is an uncommon, under diagnosed disease, which is self-limiting in nature and has excellent prognosis. Two factors, infectious and immunological, are suggested to being responsible for this disease. Lymphoma and tuberculosis should be excluded first before making KFD as diagnosis and this can be possible only with the help of excisional biopsy of involved lymphnode. So KFD is the disease of exclusion, first exclude all possible cause of necrotizing lymphadenitis and then think about this disease. For Mangement, only supportive care is required but in severe cases steroid can be used. Some rheumatological diseases such as Systemic lupus erythematosis, Sjogren’s syndrome may be associated with KFD.