DOI: 10.36347/sasjs

Pages: 138-140

We describe a rare cause of cervical lymphadenopathy in a female, outline the clinical and histopathological features and discuss excision biopsy as the investigation of choice in this age group of fourth decade. A thirty - two year old female was referred to our institute with a three-month history of RIGHT cervical lymphadenopathy. She reported no other symptoms and haematological investigations were normal. Excision biopsy revealed extensive histiocytic necrotising lymphadenitis providing a diagnosis of Kikuchi-Fujimoto disease. Persistent cervical lymphadenopathy in the 16-40 year old age group warrants to rule out serious pathology such as metastatic cancer, lymphoma, Koch’s or HIV. Once the examination and haematological work up is negative, we proceed to excision biopsy as the quickest way to obtain a diagnosis, which sometimes comes up with an unexpected Kikuchi-Fujimoto disease.