一例被误诊为颈部脓肿的坏死性淋巴结炎病例

Yan Zhou, Qiuling Liang, Chun Yang
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摘要

组织细胞坏死性淋巴结炎(HNL)又称菊地病,是一种较为罕见的亚急性坏死性局部淋巴结炎。这种良性、自限性疾病的特点是发热、淋巴结病痛、皮疹和其他全身症状。由于其表现无特异性、病因和发病机制不明确,HNL 在临床上的发病率很低。临床医生和病理学家对其认识不足,很容易导致误诊。本文报告了一名因发热、颈部疼痛和颈部淋巴结肿大而入院的 27 岁女性患者。患者无特殊病史或个人史,术后病理证实为组织坏死性淋巴结炎。经过类固醇和对症治疗后,她康复出院。随访至今未见复发。
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A Case of Necrotizing Lymphadenitis Misdiagnosed as a Neck Abscess.

Histiocytic necrotizing lymphadenitis (HNL), also known as Kikuchi disease, is a relatively rare sub-acute necrotic localized lymphadenitis. This benign, self-limiting condition is characterized by fever, painful lymphadenopathy, skin rash, and other systemic symptoms. Due to its nonspecific presentation, unclear etiology, and pathogenesis, HNL has a low incidence rate in clinical practice. Insufficient awareness among clinicians and pathologists can easily lead to misdiagnosis. This article reported a 27-year-old female patient who was admitted to the hospital with fever, neck pain, and enlarged lymph nodes in the neck. There were no special medical or personal histories, and postoperative pathology confirmed tissue necrotizing lymphadenitis. After treatment with steroids and symptomatic therapy, she recovered and was discharged from the hospital. Follow-up to date has shown no recurrence.

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