Kimura's Disease Involving the Ipsilateral Face and Extraocular Muscles.
10.3341/kjo.2009.23.3.219
- Author:
Sang Joon LEE
1
;
Ju Hwan SONG
;
Shin Dong KIM
Author Information
1. Department of Ophthalmology, College of Medicine, Kosin University, Busan, Korea. shindongkim@ns.kosinmed.or.kr
- Publication Type:Case Report
- Keywords:
Exophthalmos;
Extraocular muscle;
Eyelid swelling;
Kimura's disease
- MeSH:
Administration, Oral;
Adolescent;
Angiolymphoid Hyperplasia with Eosinophilia/complications/*diagnosis/drug therapy/surgery;
Cheek/*pathology;
Edema/etiology;
Exophthalmos/etiology;
Face;
Glucocorticoids/administration & dosage;
Humans;
Magnetic Resonance Imaging;
Male;
Methylprednisolone/administration & dosage;
Oculomotor Muscles/*pathology/surgery;
Postoperative Care;
Treatment Outcome
- From:Korean Journal of Ophthalmology
2009;23(3):219-223
- CountryRepublic of Korea
- Language:English
-
Abstract:
Kimura's disease (KD) is a rare, chronic inflammatory disorder, which is characterized by tumor-like masses mainly located in the head and neck region. Extraocular muscle involvement in KD is uncommon. We report a case of KD that involved both the extraocular muscles and buccal area. A 13-year-old male presented to our clinic with a two-year history of exophthalmos of the left eye and facial swelling. Facial CT and MRI showed a 1.5 x 1.5 cm2 soft tissue mass located at the left masticator and buccal area, exophthalmos of the left eye, and diffuse thickening of the left extraocular muscles. We performed a lateral rectus muscle incisional biopsy of the left eye. Oral methylprednisolone therapy was initiated and tapered following the incisional biopsy.
