KIKUCHI DISEASE WITH ASSOCIATED SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT

Abstract

This case report describes a 28 year old male patient presenting with low-grad fever, symmetrical

polyarthritis, rash on palms, neck and trunk, oral ulcers and cervical, axillary and hilar lymphadenopathy.

Other systemic examination was unremarkable. Patient was diagnosed as Kikuchi-Fujimoto's disease on

the basis of lymph node histopathology, which showed the pathognomonic "Acute Histiocytic Necrotizing

Lymphadenitis". Concurrently diagnosis of systemic lupus erythematosus (SLE) was also made because of

the presence of five out of eleven criteria for the diagnosis of SLE. The five criteria which were present in

this patient were oral ulcers, arthritis, proteinuria of 1295 mg/24 hrs, positive Antinuclear Antibody and

positive anti-double stranded DNA.