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Kikuchi-Fujimoto disease and peripheral arthritis: a first!
  1. L E Graham
  1. Department of Medicine, Patan Hospital, Kathmandu, Nepal
  1. Correspondence to:
    Dr L Graham, Patan Hospital, GPO Box 252, Kathmandu, Nepal;
    lorradam{at}wlink.com.np

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Kikuchi-Fujimoto disease is a subacute necrotising lymphadenopathy of unknown cause. It is more common in young Asian women, usually affects cervical lymph nodes, and is characterised histologically by histiocytic proliferation and necrosis of lymph nodes. Clinically the lymphadenopathy is painless, there is an associated high grade fever, sore throat, and erythematous skin rash.1,2 The course is usually benign with resolution in a few months with the use of non-steroidal anti-inflammatory drugs. This condition was first described independently by Kikuchi and Fujimoto in 1972.3,4

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