A clinical analysis of 33 cases of Kimura's disease.
- Author:
Shengwen LIU
1
;
Lulu HUANG
;
Zhen'gang ZHANG
;
Changshu KE
;
Junying QI
Author Information
1. Department of Infection, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Angiolymphoid Hyperplasia with Eosinophilia;
diagnosis;
pathology;
therapy;
Child;
Female;
Head;
pathology;
Humans;
Immunoglobulin E;
blood;
Lymph Nodes;
pathology;
Male;
Middle Aged;
Neck;
pathology;
Retrospective Studies;
Salivary Glands;
pathology;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2011;25(7):297-300
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To improve the diagnosis and treatment of Kimura's disease (KD) by investigating its clinical characteristics, pathological features and complications.
METHOD:The clinical data of 33 cases of KD were analyzed retrospectively.
RESULT:Of 33 cases, 22 showed the mass on head and neck, while in the other cases, the mass distributed in the region of groin, axillary fossa, hilum of lung and mesentery. Regional lymph nodes were involved in 21 cases and major salivary glands were invaded in 8 cases. Twenty-three cases had typical peripheral eosinophilia, although only in 2 patients the quantity of serum total IgE increased markedly. Urine abnormalities happened to 7 cases, such as massive proteinuria (3 cases) and hematuria (2 cases). Among 6 cases which underwent bone marrow aspiration, 2 showed eosinophilia. Two cases were complicated with nephritic syndrome. Six cases were combined with local inflammation on head and neck and 2 cases were combined with malignant tumor.
CONCLUSION:Mass on the head and neck is the typical clinical manifestation in KD, with regional lymph nodes and major salivary glands involved most. Serum total IgE and histopathologic examination should always be done to confirm KD, especially in the cases with unknown eosinophilia increasing.
