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Case Reports in Otolaryngology
Volume 2012, Article ID 267595, 5 pages
http://dx.doi.org/10.1155/2012/267595
Case Report

Hashimoto’s Thyroiditis and Kikuchi’s Disease: Presentation of a Case and Review of the Literature

1Department of Otorhinolaryngology, General Hospital of Larissa, 41221 Larissa, Greece
2Department of Internal Medicine, General Hospital of Larissa, 41221 Larissa, Greece
3Department of Biology, University of Crete, 71409 Heraklion, Crete, Greece

Received 27 September 2012; Accepted 5 November 2012

Academic Editors: A. Casani, S. L. Goudy, and M. S. Timms

Copyright © 2012 Athanasios Saratziotis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of a 19-year-old woman with a history of Hashimoto’s thyroiditis who presented with tender right anterior cervical lymphadenopathy and fever. Workup for infectious, autoimmune, and malignant causes was unremarkable. Surgical removal of cervical lymph nodes after detailed magnetic resonance (MR) imaging disclosed necrotizing lymphadenitis, also known as Kikuchi’s disease (KD). The patient was treated with a short-term course of steroids, due to the onset of pancytopenia and borderline antiphospholipid antibodies combined with increased anti-thyroglobulin (anti-TG) titers. Despite being a diagnosis of exclusion, KD should be included in the differential of such patients, particularly in cases of previous or concurrent autoimmune diseases such as Hashimoto’s thyroiditis, which necessitate a long-term follow-up.