Kimura disease of bilateral eyelid

Main Article Content

Ni Made Gita Saraswati
Putu Yuliawati
A.A. Mas Putra Trinigrat

Keywords

Kimura’s disease, Eyelid mass, Palpebra Tumor

Abstract

Background: To highlight rare case patient with Kimura Disease of the eyelid. Single case study has been followed up for 6 months.


Case: A Balinese, male, 11 years old patient with chief complained bilateral painless eyelid swelling since 6 months ago. From the examination there were masses at superior palpebral In both eyes, with firm, mobile and painless in palpation. Laboratory investigation revealed eosinophilia with a rise in IgE percentage levels (5.41%). Orbital CT Scan showed a solid mass in left superior retropalpebral. Oral steroid was given before excision surgery. Histopathological examination showed diffuse infiltrating eosinophil, high endothelial post capillary venules, folliculolysis dan microabsess, typical Kimura’s Disease.


Conclusion: Kimura’s disease still a rare case with clinical dilemma with no specific diagnostic guideline. Though there is no consensus for the treatment of recurrent disease, the overall outcome is good as there is no association with malignancy.

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References

1. Chen H, Thompson LD, Aguilera NS, Abbondanzo SL. Kimura Disease: A Clinicopathologic Study of 21 Cases. Am J Surg Pathol. 2004; 28 (4): 505-513.
2. Kennedy SM, Pitts JF, Lee WR, Gibbons DC. Bilateral Kimura’s Disease of the Eyelids. Br J Ophthalmol. 1992; 76(12): 755-757.
3. Syahryari J, Dabiri S, Talebi A. Kimura’s Disease: A Case Report and Review of Literatures. Iranian Journal of Pathology. 2012; 7(4): 251-255.
4. Yeung EY, Ma L. Bilateral Orbital Kimura’s Disease in a Young Asian Man. Chang Gung Med J. 2002; 25: 45-50.
5. Li J, Ge X, Ma J, Li M, Li J. Kimura’s Disease of the Lacrimal Gland Mimicking IgG4-related Orbital Disease. BMC Ophthalmol. 2014; 14: 1-4.
6. Osuch-Wojcikiewicz E, Bruzgielewicz A, Lachowska M, Wasilewska A, Niemczyk K. Kimura’s Disease in a Caucasian Female: A Very Rare Cause of Lymphadenopathy. Case Rep Otolaryngol. 2014; 1-5.
7. Monzen Y, Kiya K, Nishisaka T. Kimura’s Disease of the Orbit Successfully Treated with Radiotherapy Alone: A Case Report. Case Rep Ophthalmol. 2014; 5(1): 87-91.