Osuch-Wójcikiewicz Ewa, Bruzgielewicz Antoni, Lachowska Magdalena, Wasilewska Agata, Niemczyk Kazimierz
Department of Otolaryngology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland.
Case Rep Otolaryngol. 2014;2014:415865. doi: 10.1155/2014/415865. Epub 2014 May 14.
Introduction. Kimura's disease is a rare chronic inflammatory disorder characterized by the head and neck lymphadenopathy often accompanied by eosinophilia and elevated serum IgE. It is benign condition with unknown etiology usually affecting young men of Asian race. Affected Caucasians are very rare. Case Presentation. We report a clinically and histopathologically typical case of this disease in a 40-year-old Caucasian female. In differential diagnosis particular attention has been paid to angiolymphoid hyperplasia with eosinophilia and neoplasms. Conclusion. The diagnosis of Kimura's disease can be very difficult and misleading; it is important not to ignore histopathological features. The presented patient has been under follow-up with no more symptoms of the disease for the last 1.5 years.
引言。木村病是一种罕见的慢性炎症性疾病，其特征为头颈部淋巴结病，常伴有嗜酸性粒细胞增多和血清IgE升高。它是一种病因不明的良性疾病，通常影响亚洲种族的年轻男性。受影响的白种人非常罕见。病例报告。我们报告了一名40岁白种女性的该疾病临床及组织病理学典型病例。在鉴别诊断中，特别关注了伴有嗜酸性粒细胞增多的血管淋巴样增生和肿瘤。结论。木村病的诊断可能非常困难且具有误导性；重要的是不要忽视组织病理学特征。该患者在过去1.5年中一直在接受随访，目前已无该疾病的更多症状。
