Atypical presentation in Kimura's disease

• Published in: Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat Vol. 25; no. 1; p. 46
• Main Authors: Bayır, Ömer, Karagöz, Tuğba, Tatar, Emel Çadallı, Özdek, Ali, Han, Ünsal, Saylam, Güleser, Korkmaz, Mehmet Hakan
• Format: Journal Article
• Language: Turkish
• Published: Turkey 2015
• Subjects: Angiolymphoid Hyperplasia with Eosinophilia - diagnosis; Castleman Disease - pathology; Cheek - pathology; Diagnosis, Differential; Humans; Male; Middle Aged; Mouth Diseases - diagnosis; Mouth Mucosa - pathology

Kimura's disease is a rare chronic inflammatory disorder with an unknown etiology which presents with the involvements of salivary glands and subdermal tissue in the head or neck region, in particular. Besides the most common manifestations of the disease; as the involvements of preauricular region, submandibular region, cervical lymph nodes and major salivary glands, nephrotic syndrome, as an additional systemic pathology, may be also seen due to glomerulonephritis. The differential diagnosis is made with the identification of characteristic histological features as follicular hyperplasia, eosinophil infiltration, and proliferation of the postcapillary venules. Although Kimura's disease may occasionally resemble angiolymphoid hyperplasia with eosinophilia, both have different clinical and histological features. In this case report, we discuss the clinical, histopathological features and treatment of a 57-year-old male patient admitted with a slowly progressing mass in his right buccal region for almost two years, which was approximately 3x3 cm in diameter and soft to palpation, and was excised completely by an intraoral approach and reported histopathologically as Kimura's disease in the light of literature.