Pulmonary haemorrhage in a patient with Kikuchi disease.
Kikuchi disease is an immunologic disease and most commonly presents with cervical lymphadenopathy. It is usually self-limiting [1]. It is sometimes associated with systemic lupus erythematosus (SLE) [2], and can be associated with many complications including aseptic meningitis, neuropathy, brachial neuritis. It can also be associated with lymphoma, and may sometimes be misdiagnosed as such [3]. The following is the first reported case of Kikuchi disease associated with pulmonary haemorrhage. The patient died and no other cause of the pulmonary haemorrhage could be identified at post mortem.
Wong
C Y
CY
TB & Chest Unit, Wong Tai Sin Hospital, Shatin Pass Road, Wong Tai Sin, Hong Kong. emmanuallewong@yahoo.com
Law
G T
GT
Shum
T T
TT
Wong
K Y
KY
Li
Y K
YK
D000328:Adult; D001853:Bone Marrow / Q000473:pathology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000473:pathology; D020042:Histiocytic Necrotizing Lymphadenitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis* / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology