We report a case of Kikuchi-Fujimoto disease with cutaneous involvement in
a European man. In contrast, the disease is most prevalent in women of Asia
n descent. The condition is probably under-recognized when histology is not
used to identify lymphadenitis of protracted course. Skin lesions may mimi
c clinically other unrelated disorders including lymphomas and immune or in
fectious dermatoses. Histology of skin lesions may bring a clue to the diag
nosis when apoptotic plasmacytoid monocytes are recognized. The relationshi
p between Kikuchi-Fujimoto disease and lupus erythematous remains a matter
of debate. (C) 1999 Elsevier Science B.V. All rights reserved.