A Case of Subacute Necrotizing Lymphadenitis in Axillary Area

액와에 발생한 아급성 괴사성 림프선염 1례

  • Kim, Won Bae (Department of Pediatrics, Inchon Christian Hospital) ;
  • Kang, Jung Hee (Department of Pediatrics, Inchon Christian Hospital) ;
  • Lee, Soo Kyung (Department of Pediatrics, Inchon Christian Hospital) ;
  • Lee, Su Nam (Department of Pathology, Inchon Christian Hospital)
  • Published : 1997.06.20

Abstract

Since 1972, a unique lymphadenitis called as subacute necrotizing lymphadenitis has been described in many Japanese literature. Originally described in Japan, it now appears worldwide. It mainly affects young women and usually manifests as fever and lymphdenopathy. The pathology is characterized by necrosis with loss of nodal architecture, infiltration with many histiocytes, and an absence of granulocytes. We report a case of subacute necrotizing lymphadenitis in axillary area. 4 10-year-old male child was admitted with a one-month history of fever, swelling in the axillary area. He treated with intravenous antibiotics. Despite treatment he remained febrile for the next ten days. 4 dissection of the axillary swelling was then performed, as was a diagnostic lymph node biopsy. The patient's condition resolved over several days and he was discharged.

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