Is Kikuchi-Fujimoto disease a manifestation of systemic lupus erythematosus?

International Journal of Dermatology
Gatha S RaoMaria Kuruvilla

Abstract

A 32-year-old woman presented with fever and swelling in the axillae of 2 months' duration, and erythema of the face, fluid-filled lesions on the trunk, oral ulcers, crusting of the lips, and redness and watering of the eyes for 3 days. The patient was initially diagnosed with tuberculous lymphadenitis and was given antituberculous treatment. One month later, she developed the present complaints (see below). The patient was photosensitive. There was no joint pain or Raynaud's phenomenon. She had experienced three intrauterine deaths in the past with no live births. On examination, the patient was pale. Bilateral axillary lymphadenopathy was present. The lymph nodes were mobile, non-tender, and not matted. Mucocutaneous examination revealed a malar eruption, flaccid bullae on the back (Fig. 1), crusting of the lips (Fig. 2), oral ulcers, and redness and discharge from the eyes. On investigation, immunoglobulin G (IgG), IgM, and IgA for tuberculosis were negative. There was anemia and leukopenia, the erythrocyte sedimentation rate (ESR) was raised, albumin in urine was positive, enzyme-linked immunosorbent assay (ELISA) for human immunodeficiency virus (HIV) was negative, and venereal disease research laboratory (VDRL) test was n...Continue Reading

References

Apr 1, 1997·The British Journal of Dermatology·V BatailleC A Holden

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Citations

Nov 13, 2007·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·B BelloniJ Ring
Oct 16, 2012·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·A Amado PuentesA Ocampo Hermida
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Jul 16, 2011·Journal des maladies vasculaires·M AbrahamP Priollet
May 9, 2008·Journal of the American Academy of Dermatology·Amber Reck AtwaterWilliam D Aughenbaugh
Nov 2, 2011·International Journal of Dermatology·Francesca PrignanoTorello Lotti
Apr 18, 2008·The British Journal of Oral & Maxillofacial Surgery·Sheena KotechaColin Johnston
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Dec 20, 2007·Journal of Pediatric Hematology/oncology·Maria EboriadouFani Athanassiadou

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