RT Journal Article SR Electronic T1 Kikuchi's disease accompanied by lupus-like butterfly rash. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 857 OP 859 VO 30 IS 4 A1 Chie Okuzawa A1 Takashi Kuroiwa A1 Yoriaki Kaneko A1 Kazue Ueki A1 Yoshito Tsukada A1 Yoshihisa Nojima YR 2003 UL http://www.jrheum.org/content/30/4/857.abstract AB Kikuchi's disease (KD) is a benign and self-limiting lymphadenitis, particularly affecting young women. KD is often associated with fever, arthralgia, and leukopenia, features also found in systemic lupus erythematosus (SLE). Lymphadenitis associated with SLE is indistinguishable from that in KD, and the association of KD and SLE has been previously reported. We describe a case of KD who developed a typical butterfly rash, reminiscent of SLE. However, histological and laboratory findings excluded the diagnosis of SLE. This case emphasizes that careful differential diagnosis between KD and SLE is required.