- Histiocytic necrotising lymphadenitis
- Histiocytic necrotizing lymphadenitis
- Kikuchi necrotizing lymphadenitis
- Kikuchi's disease
- Kikuchi-Fujimoto disease
Your QuestionI was diagnosed with Kikuchi's disease a number of years ago. I had a lump on the side of my neck that kept on getting bigger. An ear nose and throat specialist did surgery to remove it. Biopsy confirmed that it was Kikuchi's disease. The ear nose and throat specialist informed me that I would have these lumps throughout my body for the rest of my life. Is this true? According to what I have been reading online it is supposed to go away after just a few months? I have a new lump on the other side of my neck now that has been getting bigger and it hurts. I had an MRI done and they said that it is only 1 cm wide on the inside but on the outside it was 5cm by 6cm. Do you think that I should have this removed?
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Kikuchi disease can cause lymph nodes to enlarge, in particular the lymph nodes in the neck (i.e., cervical lymph nodes). Usually the lymph node is moderately enlarged (1 to 2 cm in diameter), but can be larger (greater than 7 cm in diameter). The nodal enlargement can cause dull or sharp pain. While there are no established treatment guidelines for Kikuchi disease, individual cases of severe or persisting disease improved with glucocorticoids (steroids) alone or in combination with intravenous immunoglobulin. A single case improved with hydroxychloroquine.
To learn more about your treatment options, we recommend that you speak with a healthcare provider.