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Case Report

Korean J Pain 2012; 25(3): 188-190

Published online July 31, 2012 https://doi.org/10.3344/kjp.2012.25.3.188

Copyright © The Korean Pain Society.

A Patient with Kikuchi's Disease: What Should Pain Clinicians Do?

Kyeong Eon Park, MD, Sebin Kang, MD, Seong Ho Ok, MD, Il Woo Shin, MD, Ju Tae Sohn, MD, Young Kyun Chung, MD, and Heon Keun Lee, MD*

Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Jinju, Korea.

Correspondence to: Heon Keun Lee, MD. Department of Anesthesiology and Pain Medicine, Gyeongsang National University Collage of Medicine, 92, Chilam-dong, Jinju 660-751, Korea. Tel: +82-55-750-8137, Fax: +82-55-750-8142, ane1959@hanmail.net

Received: April 30, 2012; Revised: June 8, 2012; Accepted: June 18, 2012

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Kikuchi's disease (KD) is an idiopathic and self-limiting necrotizing lymphadenitis that predominantly occurs in young females. It is common in Asia, and the cervical lymph nodes are commonly involved. Generally, KD has symptoms and signs of lymph node tenderness, fever, and leukocytopenia, but there are no reports on treatment for the associated myofacial pain. We herein report a young female patient who visited a pain clinic and received a trigger point injection 2 weeks before the diagnosis of KD. When young female patients with myofascial pain visit a pain clinic, doctors should be concerned about the possibility of KD, which is rare but can cause severe complications.

Keywords: Kikuchi's disease, myofascial pain syndrome, neck pain, necrotizing lymphadenitis, pain clinic

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