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아급성 림프절염의 임상·병리학적 분석

The Clinicopathologic Analysis of Kikuchi's Lymphadenitis

이주한|이지혜|김인선|채양석|최정우
대한병리학회|2004.10|Journal of Pathology and Translational Medicine|제38권 제5호|pp. 289-294

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참고문헌

주제분류병리학

초록

Abstract

Background : Kikuchi's disease has been known as a self-limiting lymphadenitis mostly affecting the cervical lymph nodes of young women. Methods : We retrospectively reviewed the clinical data of 77 cases of Kikuchi's lymphadenitis from 1996 to 2003 at Korea University Medical Center. Results : Histologically, 69 available cases were classified into three types: proliferative (60.8%), necrotizing (33.3%), and xanthomatous type (5.7%). These three types differed in terms of their clinical features, showing tenderness most predominantly in the necrotizing type. In spite of the insufficient numbers of cases, the data on the duration of the disease well correlated with the possible progression of the three histologic types (Kikuch's disease begins as proliferative type, then progress into necrotizing type and finally resolves into xanthomatous type). During the ten-month period of the mean follow-up, the recurrence rate was 7.0%. Three and two patients developed into pulmonary tuberculosis and systemic lupus erythematosus, respectively, but there were no prognostic differences among the three types. Conclusions : Our results confirmed that Kikuchi's lymphadenitis is a self-limiting necrotizing lymphadenitis with a low rate of recurrence. Here, we suggest that the classification of histologic types have some meanings because of their differences in certain clinical aspects and possible sequential disease progression.

참고문헌 (25)

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관련 논문AI추천

아급성 괴사성 임파선염의 임상양상과 비전형적인 증례 소개김동수, 김명수, 김영근, 김준명, 송영구, 염준섭, 이꽃실, 장경희, 최준용, 허애정, 홍성관대한감염학회 · Infection and Chemotherapy2002 · 제34권 제4호Kikuchi 병의 임상적 방사선학적 고찰김지선, 문정환, 박세진, 윤준식, 이상준, 정필상대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2006 · 제49권 제1호항핵항체 양성을 보인 아급성 괴사성 림프절염 1례김종수, 김황민, 박광화, 박병수, 박석원, 박혜영, 송지선, 심준용대한소아감염학회 · Pediatric Infection and Vaccine2001 · 제8권 제1호불명열로 오인된 아급성 괴사성 림프선염 1례강진한, 김소영, 김현희, 박경호, 양인숙, 이원배대한소아감염학회 · Pediatric Infection and Vaccine2001 · 제8권 제2호소아 Kikuchi 병의 임상 양상박성신, 박용구, 송준혁, 이규하, 정성훈, 차성호, 최용묵, 한미영대한소아감염학회 · Pediatric Infection and Vaccine2007 · 제14권 제2호급성충수돌기염 증상을 보인 장간막 림프절의 Kikuchi병1예 보고나웅, 민경환, 백승삼, 송순영, 송영수, 장기석, 장시형대한병리학회 · Journal of Pathology and Translational Medicine2007 · 제41권 제1호

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