Hi! I had enlarged lymph nodes on both sides of the neck. I sought consult and had a neck dissection and biopsy. I believe i'm healthy.I dont feel anything except for the enlarged lymph nodes.It was noted in the result: Histiocytic Necrotizing Lymphadenitis consider: 1.Kikuchi Fujimoto 2.Lupus Adenitis Correlation with serum studies for SLE is suggested.  So what to do? I was advised to consult with Rheuma Doctor. I hope you can help me. Thank you so much.
hello, Have gone through the details submitted Localised painless cervical lymphadenopathy , Kikuchi's Lymphadenitis is a well known , though uncommon Idiopathic Lymphadenitis .Its a self limiting entity and will remit on its own Its close Differential diagnosis is Lupus [SLE] Lymphadenitis , has to be ruled out  Any Joint pains ? Any fever ? Any Myalgias , Fatigue ? Other region of lymph nodes like in arm pits , inguinal regions if enlarged , Just slide your fingers in these regions and see for any enlarged nodes ? Any Skin Rash ? any other systemic symptoms ? If you have any of the above symptoms , You need to get Screened for SLE to rule it out ,ANA screening and them ANA profile Else , stay cool , Dont even think about it , maintain good oral hygiene , Do warm water or salt water gargling frequently If any of the above complaints appear positive , Do revert Get Peripheral Smear , ESR ,Seum LDH done along with above in case your symptoms increase Take care Regards Dr Geeta