PMID- 12659352 OWN - NLM STAT- MEDLINE DCOM- 20030410 LR - 20051116 IS - 0038-4348 (Print) IS - 0038-4348 (Linking) VI - 96 IP - 3 DP - 2003 Mar TI - Is human herpesvirus 6 linked to kikuchi-fujimoto disease? The importance of consistent molecular and serologic analysis. PG - 226-33 AB - BACKGROUND: Kikuchi-Fujimoto disease, also called histiocytic necrotizing lymphadenitis, is a self-limiting lymphadenopathy of unknown cause. The patient often presents with fever, malaise, and lymphadenopathy primarily involving the cervical lymph nodes. Laboratory findings are nonspecific, and the diagnosis is established by identifying characteristic pathologic features from lymph node biopsy. The etiologic agent has been proposed to be of viral origin; specifically, human herpesvirus 6 (HHV-6) has been implicated. METHODS: The clinical, histologic, serologic, and molecular data from 471 cases of Kikuchi-Fujimoto disease reported between 1982 and 2001 and their relationship to HHV-6 were reviewed. RESULTS: Thirty-two of the 471 patients in this review were tested for HHV-6 serology; all 32 had elevated titers for HHV-6. One hundred twelve patients with lymphadenopathies, including histiocytic necrotizing lymphadenitis, tested positive for HHV-6 by polymerase chain reaction. In situ hybridization results were positive in 41 cases. CONCLUSION: This review illustrates the necessity for consistent molecular and serologic analysis. FAU - Dominguez, Delfina C AU - Dominguez DC AD - Clinical Laboratory Science Program, University of Texas at El Paso, and U.S. Oncology, El Paso, TX 79902, USA. delfina@utep.edu FAU - Torres, M Lorraine AU - Torres ML FAU - Antony, Suresh AU - Antony S LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - South Med J JT - Southern medical journal JID - 0404522 SB - IM MH - Adult MH - Female MH - *Genetic Techniques MH - Herpesvirus 6, Human/genetics/*isolation & purification MH - Histiocytic Necrotizing Lymphadenitis/pathology/*virology MH - Humans MH - Lymphadenitis/pathology/virology MH - Middle Aged MH - *Serologic Tests RF - 60 EDAT- 2003/03/28 05:00 MHDA- 2003/04/11 05:00 CRDT- 2003/03/28 05:00 PHST- 2003/03/28 05:00 [pubmed] PHST- 2003/04/11 05:00 [medline] PHST- 2003/03/28 05:00 [entrez] AID - 10.1097/01.SMJ.0000054420.01333.B0 [doi] PST - ppublish SO - South Med J. 2003 Mar;96(3):226-33. doi: 10.1097/01.SMJ.0000054420.01333.B0.