Hashimoto’s Thyroiditis and Kikuchi’s Disease: Presentation of a Case and Review of the Literature

AthanasiosSaratziotis; KonstantinosKarakousis; KellyTzika; Katerina G.Oikonomou; Panagiotis J.Vlachostergios

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Hashimoto’s Thyroiditis and Kikuchi’s Disease: Presentation of a Case and Review of the Literature

机译：桥本甲状腺炎和菊池病：病例介绍和文献复习

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We report the case of a 19-year-old woman with a history of Hashimoto’s thyroiditis who presented with tender right anterior cervical lymphadenopathy and fever. Workup for infectious, autoimmune, and malignant causes was unremarkable. Surgical removal of cervical lymph nodes after detailed magnetic resonance (MR) imaging disclosed necrotizing lymphadenitis, also known as Kikuchi’s disease (KD). The patient was treated with a short-term course of steroids, due to the onset of pancytopenia and borderline antiphospholipid antibodies combined with increased anti-thyroglobulin (anti-TG) titers. Despite being a diagnosis of exclusion, KD should be included in the differential of such patients, particularly in cases of previous or concurrent autoimmune diseases such as Hashimoto’s thyroiditis, which necessitate a long-term follow-up.

机译：我们报告了一位19岁的女性，她曾有桥本甲状腺炎病史，并伴有右前颈淋巴结肿大和发烧。对于感染，自身免疫和恶性原因的检查并不明显。在详细的磁共振（MR）成像后，手术切除颈淋巴结发现坏死性淋巴结炎，也被称为菊池病（KD）。由于全血细胞减少症和临界抗磷脂抗体的结合以及抗甲状腺球蛋白（anti-TG）滴度的增加，因此对该患者进行了短期激素治疗。尽管被诊断为排斥，KD仍应包括在此类患者的鉴别物中，尤其是在先前或同时发生的自身免疫性疾病（例如桥本甲状腺炎）的情况下，因此需要进行长期随访。

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《Case Reports in Otolaryngology》 |2012年第2期|共5页
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AthanasiosSaratziotis; KonstantinosKarakousis; KellyTzika; Katerina G.Oikonomou; Panagiotis J.Vlachostergios;
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Hashimoto’s Thyroiditis and Kikuchi’s Disease: Presentation of a Case and Review of the Literature

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