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Kimura's disease in Malay patients.
Med J Malaysia. 2007 Aug;62(3):263-4.
Kimura's
Disease (KD) is an uncommon, chronic inflammatory disorder of
unknown etiology which is endemic in Orientals. It is characterized
by painless, large solitary or multiple nodules in subcutis of head
and neck region or the major salivary glands, associated with
regional lymphadenopathy, blood eosinophilia and elevated IgE
levels. Its treatment ranging from conservative observation in
asymptomatic patient to surgical resection of the mass,
corticotherapy and irradiation therapy for the symptomatic ones.
Recurrent Kimura's
disease: report of one case.
Acta Paediatr Taiwan.
2007 May-Jun;48(3):149-51.
Kimura's
disease (KD) is a rare, chronic inflammatory disease, and the
etiology is not yet to be determined. The disease is usually found
in young Asian men but rarely in Western population. Here, we report
an 8-year-old boy with the initial presentation of right upper
eyelid swelling. Laboratory tests disclosed peripheral eosinophilia
and elevated IgE level. KD with lacrimal gland involvement was
diagnosed. Surgical excision was performed several times and steroid
was also used, however the disease recurred. Thereafter, steroid,
cyclosporine-A and azathioprine were prescribed. The tumor mass
resolved and the laboratory data returned to normal level.
Kimura's disease: an
unusual cause of cervical tumor.Med
J Malaysia. 2005 Aug;60(3):373-6.
Kimura's
disease (KD) is an angiolymphoid proliferative disease of soft
tissue with peripheral blood eosinophilia and elevated serum
immunoglobulin (Ig) E. The treatment options range from conservative
observation for the asymptomatic patient to surgical excision,
steroid therapy and radiotherapy for symptomatic patients. Surgical
excision is the most common diagnostic measure and is the treatment
of choice. A case of KD in a 13-year-old Malay girl is presented.
Clinically there was painless right jugular digastric mass measuring
3cm by 3cm. Her blood investigation showed pronounced eosinophilia.
She underwent excision biopsy uneventfully. The biopsy from the
swelling showed reactive follicular hyperplasic with prominent
eosinophilia. There was no evidence of malignant change.
Postoperatively after 3 years follow up, she was asymptomatic and no
signs of tumor recurrence. |