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10.1016/j.humpath.2012.05.016

http://scihub22266oqcxt.onion/10.1016/j.humpath.2012.05.016
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22939574!ä!22939574

suck abstract from ncbi


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pmid22939574      Hum+Pathol 2013 ; 44 (2): 255-9
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  • Kikuchi-Fujimoto lymphadenitis: role of parvovirus B-19, Epstein-Barr virus, human herpesvirus 6, and human herpesvirus 8 #MMPMID22939574
  • Rosado FG; Tang YW; Hasserjian RP; McClain CM; Wang B; Mosse CA
  • Hum Pathol 2013[Feb]; 44 (2): 255-9 PMID22939574show ga
  • Kikuchi-Fujimoto lymphadenitis is a self-limited disorder that typically presents in young females as painless cervical lymphadenopathy with fever, anemia, and leukopenia. The clinical manifestations and pathologic findings suggest a viral etiology, yet specific etiologic agents remain unknown. Although there are studies reporting positive associations between Kikuchi-Fujimoto lymphadenitis and parvovirus B19 and herpesviruses, other studies have failed to find an association with these viruses. To our knowledge, this current study is the largest study of Kikuchi-Fujimoto lymphadenitis in Western patients that used polymerase chain reaction testing for 4 different common viral pathogens often implicated as etiologic agents in Kikuchi-Fujimoto lymphadenitis. Archival material from 3 institutions was included, following confirmation of the diagnosis of Kikuchi-Fujimoto lymphadenitis by 2 independent pathologists. Polymerase chain reaction from the paraffin-embedded tissue sections for parvovirus B19, Epstein-Barr virus, human herpesvirus 6, and human herpesvirus 8 was performed. Eighteen cases of Kikuchi-Fujimoto lymphadenitis were analyzed, 12 of which (60%) were cervical lymph nodes. All the cases showed typical geographic necrosis with abundant apoptotic debris, although the degree of necrosis was variable. Polymerase chain reaction revealed a high prevalence of parvovirus B19 in the controls (44%); there were fewer positive cases seen in the Kikuchi-Fujimoto lymphadenitis cases (11%), but this did not reach statistical significance (P = .25).There were no significant differences between cases and controls in the prevalence of Epstein-Barr virus, human herpesvirus 6, and human herpesvirus 8 (P = .50 for all 3). Polymerase chain reaction failed to reveal a positive association between Kikuchi-Fujimoto lymphadenitis and 4 common suspected viral agents. These findings do not support a role for Epstein-Barr virus, human herpesvirus 6, human herpesvirus 8, or parvovirus B19 in the pathogenesis of Kikuchi-Fujimoto lymphadenitis.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |Epstein-Barr Virus Infections/complications/virology[MESH]
  • |Female[MESH]
  • |Herpesviridae Infections/complications/virology[MESH]
  • |Herpesvirus 4, Human/genetics/*isolation & purification[MESH]
  • |Herpesvirus 6, Human/genetics/*isolation & purification[MESH]
  • |Herpesvirus 8, Human/genetics/*isolation & purification[MESH]
  • |Histiocytic Necrotizing Lymphadenitis/pathology/*virology[MESH]
  • |Humans[MESH]
  • |Lymph Nodes/pathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Necrosis[MESH]
  • |Parvoviridae Infections/complications/virology[MESH]
  • |Parvovirus B19, Human/genetics/*isolation & purification[MESH]
  • |Polymerase Chain Reaction[MESH]
  • |Roseolovirus Infections/complications/virology[MESH]


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