2017, Número 4
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Med Int Mex 2017; 33 (4)
Enfermedad de Kikuchi-Fujimoto
Córdova-Pluma VH, Vega-López CA, Alarcón-Sotelo A, Riancho-Guzmán JA, Almeida-Navarro JS, Salinas-Lezama E
Idioma: Español
Referencias bibliográficas: 23
Paginas: 540-547
Archivo PDF: 484.16 Kb.
RESUMEN
La enfermedad de Kikuchi-Fujimoto es poco común, de curso natural
con alivio espontáneo, de causa desconocida, que se manifiesta por
linfadenopatías, fiebre y síntomas menos específicos como diaforesis
nocturna, pérdida de peso, cefalea, fatiga, náusea y artralgias. La única
forma de establecer el diagnóstico es mediante los hallazgos histopatológicos,
caracterizados por necrosis coagulativa con abundantes restos
de cariorrexis en zonas paracorticales. El tratamiento es sintomático
y debe realizarse diagnóstico diferencial con procesos infecciosos y
neoplasias. Se comunica el caso de una mujer de 37 años de edad en
la que se integró el diagnóstico de enfermedad de Kikuchi-Fujimoto
y se realiza una revisión de la bibliografía.
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