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Journal of Clinical Pathology 2007;60:433-435; doi:10.1136/jcp.2006.038646
Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

CASE REPORT

Kikuchi’s disease displaying a t(2:16) chromosomal translocation

Katherine E Robertson1, Peter D Forsyth2, Paul J Batstone3, David A Levison4 and John R Goodlad5

1 Division of Pathology and Neuroscience, Ninewells Hospital and Medical School University of Dundee, Dundee, UK
2 Departments of Haematology and North of Scotland Blood Transfusion Centre, Raigmore Hospital, Inverness, UK
3 Cytogeneticist Cytogenetics Unit, Department of Pathology, Raigmore Hospital, Inverness, UK
4 Division of Pathology and Neuroscience, Ninewells Hospital and Medical School University of Dundee, Dundee, UK
5 Department of Pathology, NHS Lothian—University Hospitals Division, Western General Infirmary, Edinburgh, UK

Correspondence to:
Correspondence to:
Dr K E Robertson
Division of Pathology and Neuroscience, Ninewells Hospital and Medical School University of Dundee, Dundee DD1 9SY, UK; k.e.robertson{at}dundee.ac.uk

ABSTRACT

Kikuchi’s disease is a rare self-limiting lymphoproliferative condition of unknown aetiology, characterised by acute or subacute necrotising lymphadenitis. It is a benign condition that can mimic malignant lymphoma. In this report, a case of Kikuchi’s disease associated with a chromosomal abnormality is described. This is the first report in the literature of such a case and it highlights an important learning point; benign lymphoproliferative conditions can be associated with chromosomal abnormalities that are more typically associated with malignant lymphoproliferative conditions such as malignant lymphoma. The report illustrates the necessity for interpreting cytogenetic data in the relevant clinical and histopathological context in a multidisciplinary setting to avoid misdiagnosis and inappropriate treatment.

Abbreviations: KD, Kikuchi’s disease


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