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Journal of Medical Case Reports 2012-Oct

Histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease) after laparoscopic Roux-en-Y gastric bypass for morbid obesity: a case report.

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Juan Garcia-Arnes
M Rosa Bernal-Lopez
Jose Luis Gallego-Perales
M Luz Vazquez-Camuñas
Ricardo Gomez-Huelgas

Keywords

Abstract

BACKGROUND

Kikuchi-Fujimoto disease, or histiocytic necrotizing lymphadenitis, is a rare, benign, autoimmune condition characterized by lymphadenopathy, fever and neutropenia. It is a self-limited condition of unknown etiology.

METHODS

We report the case of a 45-year-old Caucasian man with the first known case of Kikuchi disease associated with dramatic weight loss after bariatric surgery.

CONCLUSIONS

Although the association between Kikuchi disease and bariatric surgery may be entirely coincidental, we speculate whether the immune dysfunction associated with weight loss may have played an etiologic role in this process.

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