Systemic Lupus Erythematosus Presenting as Multiple Cervical Mass.
- Author:
Kyoung Min KIM
1
;
Moo Kyun PARK
;
Kwang Yoon JUNG
;
Jeong Soo WOO
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea. diakonos@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Histiocytic necrotizing lymphadenitis;
Systemic lupus erythematosus
- MeSH:
Diagnosis, Differential;
Exanthema;
Female;
Fever;
Histiocytic Necrotizing Lymphadenitis;
Humans;
Lupus Erythematosus, Systemic*;
Lymph Nodes;
Lymphadenitis;
Lymphatic Diseases;
Middle Aged;
Pericarditis;
Prevalence;
Weight Loss
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(7):755-757
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Systemic lupuserythematosus (SLE )can occur commonly in young women. The cause of SLE remains unknown. The initial symptoms include fever, chilling, or weight loss, and these nonspecific symptoms develop into skin rash, pericarditis, spleenomegaly or lymphadenopathy. The prevalence of lymphadenopathy ranges from 12% to 59% in lupus patients. Although Lupus lymphadenitis is a common finding, it is rarely the presenting manifestation since it can be pathologically indistinguishable from histiocytic necrotizing lymphadenitis (Kikuchi's disease). There have been sporadic reports of lupus lymphadenitis. We present a case of a 53 year old woman presenting cervical and inguinal lymph node enlargement and generalized skin rash. The clinical and pathologic aspects as well as differential diagnosis of this entity are reviewed.
