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A MIMIC OF POSTTRANSPLANT LYMPHOPROLIFERATIVE DISEASE FOLLOWING LIVER TRANSPLANT

WİLLİAM H KİTCHENS, DAVİD L JAYE, JOEL P WEDD, JOSEPH F MAGLİOCCA

Experimental and Clinical Transplantation - 2020;18(6):741-743

From the Department of Surgery and the Department of Pathology and Laboratory Medicine, Emory Transplant Center, Atlanta, Georgia, USA

 

Generalized lymphadenopathy after organ transplant is a concerning finding, often indicating the devel - opment of lymphoma. We describe a 52-year-old liver transplant recipient who had clinical symptoms and imaging concerning for posttransplant lympho - proliferative disease. However, histologic evaluation of a lymph node biopsy revealed that the patient actually had a much rarer but relatively benign condition, Kikuchi-Fujimoto disease (histiocytic necro - tizing lymphadenitis). We discuss the epidemiology, clinical symptoms, diagnosis, histologic features, and treatment of this uncommon mimic of posttransplant lymphoproliferative disease.