Kikuchi-Fujimoto Disease in a Crohn’s Patient

Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is a rare, benign, focal, self-limiting disease. We report a unique case of KFD in a patient with coexisting Crohn’s disease. Our patient is a 23-year-old African American female with a past medical history significant for Crohn’s disease who presented to the clinic because of a painless lump over the right side of the neck for the past 3 weeks. On physical examination, the patient was found to have enlarged nontender right cervical lymph nodes from levels 2 to 4. An excisional biopsy of the right neck lymph node was done which revealed necrotizing histiocytic lymphadenitis, favoring a diagnosis of KFD. Over the course of the next 2 months, her lymphadenopathy got resolved. This is the first case of KFD in a patient with Crohn’s Disease. Lymphoma remains a feared adverse outcome for immunomodulatory drugs, thus necessitating their cessation upon signs of lymphadenopathy. Our case highlights the importance of a detailed workup in order to access the underlying cause of the lymphadenopathy so that the immunomodulatory drugs can be resumed in these patients.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Kikuchi-Fujimoto Disease in a Crohn’s Patient ; volume:16 ; number:2 ; year:2022 ; pages:521-525 ; extent:5
Case reports in gastroenterology ; 16, Heft 2 (2022), 521-525 (gesamt 5)

Creator
Shaikh, Danial H.
Ghazanfar, Haider
Sandhu, Tegveer
Hussain, Ali Naqqi Ul
Patel, Harish

DOI
10.1159/000526273
URN
urn:nbn:de:101:1-2022092200543733991977
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:31 AM CEST

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Associated

  • Shaikh, Danial H.
  • Ghazanfar, Haider
  • Sandhu, Tegveer
  • Hussain, Ali Naqqi Ul
  • Patel, Harish

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