Synchronous Kimura lesions at two different sites - A diagnostic dilemma!

Gabriel Rodrigues, Bharadwaj Ravi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Kimura disease (KD) is a rare, chronic, benign inflammatory disorder of unknown etiology mimicking neoplastic disease and is characterized by multiple subcutaneous nodules and masses, primarily in the cervical region, accompanied by peripheral eosinophilia and lymphadenopathy. A 35-year-old male presented with a 2-year history of swelling in the right preauricular region and right thigh. Investigations showed a peripheral eosinophilia. CT of cervical region revealed parotid neoplasm and a fine needle aspiration was inconclusive. The thigh swelling felt vascular and a CT angiogram was done which revealed a diffuse vascular lesion. A superficial parotidectomy and an excision of the right thigh swelling were done. Histopathologies of both specimens were reported to have features suggestive of KD. The patient was evaluated for systemic manifestations and found to have no abnormalities. The patient has been disease free on follow-up after 2 years. This case is being presented for the rarity of its incidence and the nature of its presentation.

Original languageEnglish
Pages (from-to)214-217
Number of pages4
JournalQuantitative Imaging in Medicine and Surgery
Volume6
Issue number2
DOIs
Publication statusPublished - 01-01-2016

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Thigh
Angiolymphoid Hyperplasia with Eosinophilia
Eosinophilia
Blood Vessels
Parotid Neoplasms
Fine Needle Biopsy
Angiography
Incidence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

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abstract = "Kimura disease (KD) is a rare, chronic, benign inflammatory disorder of unknown etiology mimicking neoplastic disease and is characterized by multiple subcutaneous nodules and masses, primarily in the cervical region, accompanied by peripheral eosinophilia and lymphadenopathy. A 35-year-old male presented with a 2-year history of swelling in the right preauricular region and right thigh. Investigations showed a peripheral eosinophilia. CT of cervical region revealed parotid neoplasm and a fine needle aspiration was inconclusive. The thigh swelling felt vascular and a CT angiogram was done which revealed a diffuse vascular lesion. A superficial parotidectomy and an excision of the right thigh swelling were done. Histopathologies of both specimens were reported to have features suggestive of KD. The patient was evaluated for systemic manifestations and found to have no abnormalities. The patient has been disease free on follow-up after 2 years. This case is being presented for the rarity of its incidence and the nature of its presentation.",
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Synchronous Kimura lesions at two different sites - A diagnostic dilemma! / Rodrigues, Gabriel; Ravi, Bharadwaj.

In: Quantitative Imaging in Medicine and Surgery, Vol. 6, No. 2, 01.01.2016, p. 214-217.

Research output: Contribution to journalArticle

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