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Systemic lupus erythematosus and Kikuchi-Fujimoto disease mimicking tuberculosis

机译:模仿结核的系统性红斑狼疮和菊池藤本病

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Kikuchi-Fujimoto's disease (KFD) or histiocytic narcotising lymphadenitis is a febrile benign lymphadenopathy of unknown etiology, involving more frequently cervical lymph nodes and diagnosed on biopsy of an affected node. It is sometimes associated with auto-immune diseases such as systemic lupus erythematosus (SLE). However less frequent symptoms including involvement of extracervical nodes, hepatosplenomegaly and systemic symptoms (weight loss, night sweats) are possible and suggest an infectious disease. We report the case of a Senegalese patient with positive Ag HBs who developed SLE and KFD mimicking tuberculosis. Atypical pseudo-infectious appearance of an inflammatory systemic disease is a rare occurrence and the diagnosis can be difficult.
机译:菊池藤本病(KFD)或组织细胞性麻醉性淋巴结炎是一种病因不明的发热性良性淋巴结病,涉及宫颈淋巴结多发,经活检诊断为淋巴结肿大。它有时与自身免疫性疾病(例如系统性红斑狼疮(SLE))相关。但是,可能出现频率较低的症状,包括宫颈外淋巴结受累,肝脾肿大和全身症状(体重减轻,盗汗),并提示感染性疾病。我们报告了一名塞内加尔患者,该患者的Ag HBs阳性,发展为SLE和KFD模仿结核病。炎性全身疾病的非典型假感染性现象很少见,诊断可能很困难。

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