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Necrotizing cervical lymphadenopathy caused by Kikuchi–Fujimoto disease

¹ Department of Radiology, Guy's and St Thomas NHS Trust, Guy's Hospital, London SE1 9RT and ² Department of Haematology, Addenbrookes Hospital, Cambridge, UK

View larger version (105K): [in a new window]   Figure 1. Contrast enhanced CT scan of the neck showing enlarged right cervical lymph nodes with central areas of low attenuation necrosis.

View larger version (136K): [in a new window]   Figure 2. Same patient showing some more uniformly enhancing cervical nodes.

View larger version (129K): [in a new window]   Figure 3. Contrast enhanced CT scan of the neck in another young patient with enlarged necrotic cervical nodes, which was histologically confirmed to be tuberculosis. The appearances are indistinguishable from those of Kikuchi–Fujimoto disease in Figure 1.