2016 Volume 62 Issue 6 Pages 218-224
Kikuchi's disease was first described by Kikuchi in 1972. We herein report two cases of Kikuchi's disease. The first patient was a 27-year-old female, she visited our hospital with the chief complaint of neck swelling in the right cervical region. The second patient was a 17-year-old male, whoe visited our hospital with the chief complaint of neck swelling with tenderness in the right cervical region. A blood examination showed a low level of WBC and a slightly high serum LDH level. US showed the presence of cervical lymphadenopathy in the bilateral region. We performed a fine-needle aspiration biopsy which thus resulted in a diagnosis of Kikuchi's disease. We treated both patients with oral steroids and the cervical lymphadenopathy disappeared after 1 month in both cases. Although Kikuchi's disease generally demonstrates a good prognosis, it can nevertheless sometimes show a fatal course. When we encounter patients whose cercical lymphnodes are swollen, then it is important to include the possibility of Kikuchi's disease in the differential diagnosis.
