Abstract:
Kikuchi disease is a benign, acute disorder of the lymph nodes that is usually
seen in younger women. It is characterized by cervical lymphadenopathy, mild
fever and night sweats. We present a 32-year-old female presented with low grade
fever, nodular swelling over left side of neck and generalized weakness for 6
weeks. On examination there was cervical lymphadenopathy and no organomegaly.
All other systemic examination findings were normal. ESR was 60mmHg in the
first hour. FNAC report was non-conclusive. Excisional biopsy showed features
suggestive of Kikuchi’s disease. Patient was treated with NSAIDs and on followup
she was clinically improved. Though TB cervical lymphadenitis is common in
our country, prior biopsy and histopathology can lead us in diagnosing rare
disease like Kikuchi’s disease and help us for more specific treatment.