Print E-mail
Volume 37, Number 4, August 2004

Kikuchi-Fujimoto disease in children: clinical features and disease course


Tai-Ju Wang, Yao-Hsu Yang, Yu-Tsan Lin, Bor-Luen Chiang
Department of Pediatrics, Cathay General Hospital, Taipei; and Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan, ROC

Received: August 30, 2003    Revised: October 23, 2003    Accepted: November 9, 2003   

 

Corresponding author:

Dr. Bor-Luen Chiang, Department of Pediatrics, National Taiwan University Hospital, No 7, Chung-Shan South Road, Taipei, Taiwan, ROC. E-mail: gicmbor@ha.mc.ntu.edu.tw This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

 



 

Methods:

Kikuchi-Fujimoto disease (KFD) is a rare cause of cervical lymphadenitis which mostly affects Asian women but is sometimes observed in the pediatric population. This study analyzed the clinical manifestations and disease course in children with KFD. Retrospective chart review and telephone interview were used to collect data for 13 children (8 boys and 5 girls) with a diagnosis of KFD from January 1988 to January 2003. Involvement of the posterior cervical lymph nodes was found in 12 patients, leukopenia in 9, and all patients had C-reactive protein less than 5 mg/dL. A high antinuclear antibody titer was associated with a more protracted and complicated course. Five of the 13 patients had new symptoms compatible with an autoimmune process during follow-up, with neurological symptoms the most common. In conclusion, the risk of evolution into an autoimmune syndrome in pediatric KFD patients is high, and careful long-term observation is mandatory.

 



 

Key words:

Histiocytic necrotizing lymphadenitis, Kikuchi-Fujimoto disease, prognosis, retrospective studies



 



 

J Microbiol Immunol Infect 2004;37:219-224.