Hsu Shun-Neng, Chang Chun-Feng, Su Ting-Fu, Hsu Yi-Chih, Chen Yi-An, Chen Hsiang-Cheng
Division of Nephrology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
J Thromb Thrombolysis. 2015 Jan;39(1):144-7. doi: 10.1007/s11239-014-1085-2.
A 33-year-old Chinese man with 9-year history of Kimura's disease (KD) was admitted with a 1-month history of recurrent claudication. He did not have any clinical discomfort and had not taken any preventive medication in the past. He accepted percutaneous transluminal angioplasty and the pathologic diagnosis was reportedly consistent with necrotizing eosinophilic vasculitis. This is the rare reported case of KD associated necrotizing eosinophilic vasculitis presenting with recurrent peripheral arterial occlusive disease and the difficulties encountered in establishing an accurate diagnosis with unusual presentations. This case also highlights the possibility of recurrent complications without aggressive medical treatment in such unusual eosinophilic disorders.
一名患有木村病（KD）9年的33岁中国男性因反复出现跛行1个月入院。他没有任何临床不适，过去未服用任何预防性药物。他接受了经皮腔内血管成形术，据报道病理诊断与坏死性嗜酸性血管炎一致。这是罕见的KD合并坏死性嗜酸性血管炎病例，表现为反复的外周动脉闭塞性疾病，以及在确立具有不寻常表现的准确诊断时遇到的困难。该病例还凸显了在这种不寻常的嗜酸性疾病中，若不积极治疗可能出现反复并发症的可能性。
