Journal List > Korean J Pediatr Gastroenterol Nutr > v.3(2) > 1110553

Korean J Pediatr Gastroenterol Nutr. 2000 Sep;3(2):212-216. Korean.
Published online Sep 30, 2000.
Copyright © 2000 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Subacute Necrotizing Lymphadenitis with Hepatic Complication in an 11-year-old Boy
Kyung Ja Lee, Hann Tchah, and Sung Suk Paeng1
Department of Pediatrics, Red Cross Hospital, Seoul, Korea.
1Department of Pathology, Red Cross Hospital, Seoul, Korea.

Subacute necrotizing lymphadenitis was first reported by Kikuchi and Fujimoto in 1972. Young females no more than 30 years of age are mainly affected. It usually manifests as fever and cervical lymphadenopathy. We experienced one case of subacute necrotizing lymphadenitis with hepatic complication in an 11-year-old boy. Symptoms presented were URI signs, diarrhea, headache, and weight loss along with fever and cervical lymphadenopathy. Elevated serum AST/ALT levels were also noted up to 682/1560 (IU/L) and were normalized within one month. We performed aspiration biopsy of the liver twice (at admission and 5 months thereafter). The hepatic histopathologic findings were nonspecific.

Keywords: Hepatitis; Subacute necrotizing lymphadenitis; Kikuchi's disease; Chi