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Korean J Pain. 2012 Jul;25(3):188-90. doi: 10.3344/kjp.2012.25.3.188. Epub 2012 Jun 28.

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

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1
Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Jinju, Korea.

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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