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Case of recurring Kikuchi disease and autoimmune hepatitis
Abstract We present a case of a 47âyearâold female patient with a history of diagnosed Kikuchi disease and autoimmune hepatitis 13âyears ago who presented with recurrent fevers and a desquamative rash on the lower extremities. Computed tomography neck showed enlarged lymph nodes, and with her daily fevers and skin rashes the presentation was concerning for recurrence of her Kikuchi disease. The patient was also found to have an elevated antiâsmooth muscle antibody titer, and subsequent liver biopsy confirmed the diagnosis of autoimmune hepatitis. She was started on methylprednisolone with improvement. Our case emphasizes the association of Kikuchi disease with autoimmune conditions other than systemic lupus erythematosus. Given the recurrence of the disease after a decade of quiescence, longâterm followâup of patients with Kikuchi disease should be implemented