Abstract
Kikuchi-Fujimoto Disease is a rare benign, condition of necrotising histiocytic lymphadenitis. A case of a 55 year old gentleman is described here. He presented with fevers, weight loss and tender cervical lymph nodes. Kikuchi-Fujimoto disease was diagnosed after cervical lymph node biopsy. Symptomatic treatment was provided and an uneventful full recovery was made. Of significant note, this patient's daughter had Kikuchi-Fujimoto disease almost a decade earlier. Although Kikuchi-Fujimoto disease has been reported widely, we believe this is the first familial report in the literature of a case of Kikuchi-Fujimoto disease occurring in a parent and child.
Highlights
The presenting complaint of neck masses in association with non-specific systemic signs and symptoms prompt investigation towards the more common diagnoses
The patient's daughter had Kikuchi-Fujimoto disease (KFD) seven years earlier and was a patient in the same hospital. She presented with tender cervical lymphadenopathy of two months duration, associated with two stone weight loss, fevers and night sweats
A lymph node biopsy taken from the posterior auricular area established a tissue diagnosis of KFD
Summary
The presenting complaint of neck masses in association with non-specific systemic signs and symptoms prompt investigation towards the more common diagnoses. His initial management consisted of fluid restriction and regular paracetamol, whilst results of further tests were awaited. The patient's daughter had KFD seven years earlier and was a patient in the same hospital She presented with tender cervical lymphadenopathy of two months duration, associated with two stone weight loss, fevers and night sweats. She had no past medical history of note. A lymph node biopsy taken from the posterior auricular area established a tissue diagnosis of KFD. She improved during her in patient stay, with her bloods returning to normal prior to discharge. In a review of KFD cases by Kucukardali et al the reported overall mortality rate associated with KFD is 2.1% [9]
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