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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Been Diagnosed As Kikuchi S Disease. Don T Know What Direction To Follow. What To Do?

my 18 yr old daughter has been diagnosed with kikuchi's disease...Doctors in Newnan, Ga..have no answers for me here...i was thinking of taking her to duke...being that it is a study hospital...can you please advise me as to what direction that i might go..its an Aisan disease,.and it seems only 3 percent of american have contracted this disease...thank you! Susan
Thu, 30 May 2013
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Internal Medicine Specialist 's  Response
Hi Susan,
Welcome to HCM,
First thing about kikuchi disease is it is rare and it is very important to be sure of diagnosis histopathologically and rule out other possible disease with appropriate tests.
It must be confirmed by lymph node excision biopsy.

It is self limiting disorder of lymph nodes commonly involve neck glands.
Equally it is important to rule out other diseases like Tuberculosis,Lymphoma, and viral lymphadenitis and autoimmune disorders like SLE.Appropriate Investigations must be done.

Lymph nodes may resolve in 6 to 8 weeks but if painful supportive therapy with Anti inflammatory drugs may be required.

Kikuchi-Fujimoto disease (KFD) is seen in Japan,once the diagnosis is confirmed and potentially other diseases are ruled out prognosis is good for this disease.
Hope this information helps

Please take good care of her.
Dr.Akhilesh Dubey M.D.
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Have Been Diagnosed As Kikuchi S Disease. Don T Know What Direction To Follow. What To Do?

Hi Susan, Welcome to HCM, First thing about kikuchi disease is it is rare and it is very important to be sure of diagnosis histopathologically and rule out other possible disease with appropriate tests. It must be confirmed by lymph node excision biopsy. It is self limiting disorder of lymph nodes commonly involve neck glands. Equally it is important to rule out other diseases like Tuberculosis,Lymphoma, and viral lymphadenitis and autoimmune disorders like SLE.Appropriate Investigations must be done. Lymph nodes may resolve in 6 to 8 weeks but if painful supportive therapy with Anti inflammatory drugs may be required. Kikuchi-Fujimoto disease (KFD) is seen in Japan,once the diagnosis is confirmed and potentially other diseases are ruled out prognosis is good for this disease. Hope this information helps Please take good care of her. Dr.Akhilesh Dubey M.D.