年轻非裔美国男性的菊池-藤本病:我们是否看到了疾病流行病学的范式转变?一个病例报告。

Q4 Medicine

Connecticut Medicine Pub Date : 2016-09-01

Vinay Rao, Frank Bauer, James J Vredenburgh

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引用次数: 0

摘要

菊池-藤本病(KFD)，也被称为组织细胞坏死性淋巴结炎(HNL)，是一种罕见的自限性疾病，最常见于全球年轻亚洲女性。我们报告一个27岁的非裔美国男性，他有三周的高热，盗汗，体重减轻10磅，并有单侧颈部后淋巴结病。对感染性、风湿病和肿瘤性疾病进行了全面检查。淋巴结活检显示组织细胞增生伴坏死区。这些发现是KFD的诊断。虽然KFD最常见于年轻的亚洲女性，但在美国，这种疾病必须在男性和女性以及不同种族中考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Kikuchi-Fujimoto Disease in aYoung African American Male: Are we Seeing a Paradigm Shift in Disease Epidemiology? A Case Report.

Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis (HNL), is a rare, self-limiting disease most commonly reported in young Asian women worldwide. We present the case of a 27-year-old African American male who had three weeks of high-grade fevers, night sweats, a 10-pound weight loss, and tender unilateral posterior cervical lymphadenopathy. A complete workup of infectious, rheumatologic, and neoplastic diseases was pursued. Lymph node biopsies revealed histiocyte proliferation with areas of necrosis. These findings were diagnostic of KFD. While KFD has been reported most commonly in young Asian women, in the US, this disease must be considered in both males and females and in diverse ethnicities.

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来源期刊

Connecticut Medicine Medicine-Medicine (all)

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期刊介绍： The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.