Francis Irimpan L, Ramalingam Mohan, Ali Nadir A M, Telisinghe Pemasari U
*Department of Ophthalmology, and †Department of Pathology, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3S Suppl 1):S45-S47. doi: 10.1097/IOP.0000000000000480.
The Kimura disease is a benign rare inflammatory condition of the soft tissue, especially of the head and neck region presenting as painless nodule with or without lymphadenopathy. This condition with unknown etiology is seen mainly in Asian males, in their thirties. The authors' present a 39-year-old man with the Kimura disease in the inner canthus of his OS and no lymphadenopathy. The subcutaneous nodule was excised, and on histopathological study it was confirmed as the Kimura disease. He presented with a larger recurrence after 1 year. It was fixed to the underlying bone. Excision biopsy proved it to be the Kimura disease. To the authors' knowledge, this is the first report of the Kimura disease affecting ocular structures. The Kimura disease, although a rare condition, should be considered in the differential diagnosis of the primary and recurrent masses arising from the inner canthus of the eye.
木村病是一种罕见的软组织良性炎症性疾病,尤其好发于头颈部,表现为无痛性结节,可伴有或不伴有淋巴结病。这种病因不明的疾病主要见于30多岁的亚洲男性。作者报告了一名39岁男性,在内眦部患有木村病且无淋巴结病。切除了皮下结节,经组织病理学研究证实为木村病。1年后他出现了较大的复发肿块,该肿块与下方骨质粘连。切除活检证明仍是木村病。据作者所知,这是关于木村病累及眼部结构的首例报告。木村病虽然罕见,但在鉴别诊断源于眼内眦部的原发性和复发性肿块时应予以考虑。