면역 혈소판감소 자색반을 동반한 Kikuchi병 1예
A Case Report of Kikuchi-Fujimoto Disease with Immune Thrombocytopenic Purpura
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초록
Kikuchi병은 발열을 동반한 림프절 비대를 주 증상으로 하는드문 질환으로 자연치유 되는 특징을 가지고 있으며 림프절의 조직학적 절제생검을 통하여 진단된다. 흔한 질환은 아니지만 질병의 양상이 매우 다양하고 증상이 비특이적으로 악성 림프종, 결핵, 또는 전신홍반성루푸스로 오진되는 경우도종종 있으므로 림프절 비대를 나타내는 환자에서 다른 질환의 소견이 뚜렷하지 않다면 감별 진단 시 Kikuchi병에 대한 고려가 필요하다. 저자들은 발열, 전신 출혈점, 경부 림프절 비대를 주소로 내원하여 면역 혈소판감소 자색반과 Kikuchi병을진단받은 환자 1예를 경험하였기에 문헌고찰과 함께 증례를보고하는 바이다.
Abstract
Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is a rare disease characterized by lymphadenitis with fever. It is self-limited within one to four months, and is generally diagnosed by an excisional biopsy of the affected lymph node. Kikuchi-Fujimoto disease has a wide variety of nonspecifi c symptoms and it is sometimes misdiagnosed as malignant lymphoma, lymph node tuberculosis, or systemic lupus erythematosus. Because clinical course and treatment of this disease differ from those of others, Kikuchi-Fujimoto disease must be included in differential diagnosis of enlarged lymph node. In this report, we discribed a case of 24-year-old male patient who visited the clinic complaining of fever,petechiae, and enlarged lymph node. He was diagnosed as Kikuchi-Fujimoto disease and immune thrombocytopenic purpura.
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