We describe a unique association of histiocytic necrotizing lymphadeni
tis (Kikuchi's disease) and chronic lymphocytic (Hashimoto's) thyroidi
tis in a patient who presented with significant cervical lymphadenopat
hy and a goiter, This case illustrates the value of lymph node biopsy
combined with the fine needle aspiration of the thyroid in determining
the nature of the relationship between the goiter and lymphadenopathy
.