Kikuchi disease with facial rash and erythema multiforme

Kikuchi disease, or histiocytic necrotizing lymphadenitis, is a benign illn ess characterized by fever and cervical lymphadenopathy predominantly in yo ung women. It has a self-limiting course. Skin changes occur In about one-t hird of patients and are of a nonspecific nature. A case of Kikuchi disease with cutaneous involvement in the guise of erythema multiforme and a facia l rash is reported. The differential diagnosis with systemic lupus erythema tosus and Rowell syndrome is discussed.