Abstract

Introduction

Kikuchi disease (KFD) is a rare and self-limiting benign disease which usually occurs in young women. The difference between our case and the previous case is that the initial symptom of this case is transient ischemic attack (TIA).

Methods

A 46-year-old female patient presented at the clinic with a 2-week history of paroxysmal left limb weakness and fever. Imaging examinations showed the multiple lymph nodes in neck enlarged bilaterally. Finally, we arranged a lymph node biopsy for the patient.

Results

The resulted of lymph node biopsy showed the disorder of lymph node structures, widespread histiocytic infiltration and cell nucleus fragments, suggesting KFD.

Conclusion

TIA as a complication of KFD has never been reported in the previous literature, which provided a new direction for diagnosis of TIA and suggested that KFD may be a rare cause of ischemic stroke.

中文翻译：

---

菊池病作为缺血性中风的可能原因：病例报告

摘要

介绍

菊池病（KFD）是一种罕见的自限性良性疾病，通常发生在年轻女性中。我们的病例与前一病例的不同之处在于，本病例的初始症状是短暂性脑缺血发作（TIA）。

方法

一名 46 岁女性患者因阵发性左肢无力和发热 2 周就诊。影像学检查显示双侧颈部多发淋巴结肿大。最后，我们为患者安排了淋巴结活检。

结果

淋巴结活检结果显示淋巴结结构紊乱，广泛的组织细胞浸润和细胞核碎片，提示KFD。

结论

TIA作为KFD的并发症在以往文献中从未有过报道，这为TIA的诊断提供了新的方向，提示KFD可能是缺血性脑卒中的罕见病因。