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Cutaneous lesions of Kikuchi's disease: Evolution of histopathological findings
Authors:Kyoko Kanno  Masako Minami‐Hori  Akemi Ishida‐Yamamoto  Keiji Komura  Kensuke Oikawa  Naoyuki Miyokawa  Hajime Iizuka
Affiliation:1. Department of Dermatology, Asahikawa Medical University, , Asahikawa, Japan;2. Department of Internal Medicine, Asahikawa Medical University, , Asahikawa, Japan;3. Department of Pathology, Asahikawa Medical University, , Asahikawa, Japan
Abstract:We report a 38‐year‐old male patient who presented with cutaneous lesions mimicking widespread discoid lupus erythematosus with high‐grade fever, arthralgia and lymphadenopathy. Additional lymph node and skin biopsies, however, revealed karyorrhectic debris without neutrophils and numerous CD68‐positive cells, a characteristic finding of Kikuchi's disease (KD). Comparing skin biopsies on different occasions, we could see different forms of histopathology. The histopathology of skin lesions of KD may vary during the clinical course, which may reflect the stage of the disease.
Keywords:apoptotic keratinocytes  CD68  Kikuchi's disease  nuclear debris  systemic lupus erythematosus
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