en تخصصي Special گزارش مورد case report <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#008080;"><strong><em>Background:</em></strong> </span>Kikuchi disease is a rare, benign, self-limited disease characterized primarily by fever and cervical lymphadenopathy. Diagnosis is based on excisional biopsy and pathologic study. We report a case of an atypical axillary lymph node enlargement.<br> <span style="color:#008080;"><strong><em>Case report:</em></strong> </span>This patient was a 12-year-old boy with clinical characteristics including axillary lymph adenopathy, fever and fatigue. He became asymptomatic after excisional biopsy. Histologic study reported necrotizing lymphadenitis without neutrophils (Kikuchi disease).<br> <span style="color:#008080;"><strong><em>Conclusions:</em></strong> </span>These findings are important for diagnosis, because of the disease rarity, clinical features (such as lymphadenopathy, prolonged fever) and unidentified etiology.</span></span></div> Lymphadenopathy, Fever, Kikuchi-Fujimoto Disease, Childhood 290 293 http://caspianjp.ir/browse.php?a_code=A-10-78-2&slc_lang=en&sid=1 Ahmad Tamaddoni 10031947532846001510 10031947532846001510 No Pediatric Hematologist & Oncologist, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran Sajedeh Omidbakhsh-Amiri omidbakhsh_sajedeh@yahoo.com 10031947532846001511 10031947532846001511 Yes Pediatric Resident, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran Babak Tamaddoni 10031947532846001512 10031947532846001512 No Medical Student, Shahid Beheshti University of Medical Science, Tehran, Iran