“Necrotizing Lymphadenitis”の一例

抄録

A 33-year-old woman doctor developed swelling of right cervical lymph nodes on September 19, 1979 following common cold. The swelling was associated with slight pain and fever. She was first examined on Septemer 26. Immediate diagnosis was not available. She was put under careful observations and repeated laboratory tests were made. The swelling of the lymph nodes gradually increased in size and number, involving an inguinal node. She also developed erythema on the elbows and knees. Laboratory tests revealed an increase in BSR, leucocytopenia, an increase in GOT, GPT and LDH values, and an increase in antibody titer for EB virus and simple herpes virus.
On October 19, biopsy of a cervical node was made. The result showed that the lesion was necrotizing lymphadenitis. Steroid was dramatically effective.