A 14-year-old girl was admitted to the hospital due to systemic lymph node swelling with tenderness, fever, erythematous skin lesions and bicytopenia. Her condition was diagnosed as histiocytic necrotizing lymphadenitis (HNL) determined by a biopsy of her enlarged cervical lymph node. The biopsy of the skin rash revealed infiltrates of T lymphocytes, histiocytes with numerous apoptotic cells the same as the nodal lesion, and was considered to be the cutaneous lesion of HNL. [Skin Cancer (Japan) 2003; 18: 13-161]
