Kikuchi-Fujimoto disease with cutaneous presentation in a patient with subacute cutaneous lupus erythematosus.

Authors:
Julieta Ruiz Beguerie
Julieta Ruiz Beguerie
Austral University Hospital
Raghwa Sharma
Raghwa Sharma
Westmead Hospital
Australia

Dermatol Online J 2012 Sep 15;18(9). Epub 2012 Sep 15.

Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia.

We report the case of a 45-year-old female patient previously diagnosed with subacute cutaneous lupus erythematosus who presented with a one-week history of fever, tender erythematous nodules on her limbs, and palpable lymphadenopathy. Two incisional biopsies showed histiocytic infiltrates with abundant nuclear debris in the dermis and at the dermosubcutaneous junction with absence of neutrophils, characteristic of Kikuchi-Fujimoto disease (KFD). The dermatologic and dermopathologic details of KFD are very heterogeneous and yet poorly described. We have reviewed the literature regarding KFD cases reported with cutaneous involvement trying to assess the skin features of the KFD or histiocytic necrotizing lymphadenitis.

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September 2012
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