An Unusual Reason for Neck Masses: A Case Report

不尋常原因之頸部腫塊：病例報告

儲聖知(Sheng-Chih Chu)

《中華民國急救加護醫學會雜誌》 25卷1期 (2014/12) Pp. 12-18

摘要

菊地氏病，又稱組織球壞死性淋巴腺炎，是一個良性且自限性的疾病。常以頸部淋巴結腫大作為臨床病徵。然而，此病的致病原因及處置目前尚未被確立，所以菊地氏病很容易被誤診或是被忽略掉。我要提出一個8歲男孩的病例報告，起初在診所以抗生素治療2周，但由於持續高燒及頸部腫大疼痛被送至本院兒科急診處理。經過淋巴結病理切片後，診斷為菊地氏病，在支持療法下順利恢復健康。

關鍵字

菊地氏病 ； 組織球壞死性淋巴腺炎 ； 淋巴腺炎 ； 罕見疾病 ； 兒童

並列摘要

Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is a benign and self-limited disease. Enlargement of lymph nodes with pain is a common manifestation of KFD especially within the cervical region. However, the etiology and management of this disease are still relatively uncertain. Therefore, KFD is easily misdiagnosed or missed. I present a case of an 8-year-old boy who presented to our pediatric emergency department with a 2-week history of prolonged fever and painful neck mass previously had been treated with antibiotics at clinic. KFD was diagnosed after lymph node biopsy and he recovered under supportive treatment.

並列關鍵字

Kikuchi-Fujimoto disease ； histiocytic necrotizing lymphadenitis ； lymphadenopathy ； rare diseases ； child