Horie S, Ishiyama T, Sugimoto M, Okada T, Hashimoto H, Wakabayashi Y, Hirose S
Rinsho Ketsueki. 1989 Mar;30(3):396-9.
A 47 year-old-man was admitted because of mild congestive heart failure. A differential white blood cell count revealed eosinophilia and a biopsied inguinal lymph node showed well-developed lymphoid follicles with germinal centers, eosinophil infiltration and marked proliferating vessels with swollen endothelial cells. He was diagnosed as eosinophilic lymphfolliculosis (Kimura's disease). He also was hypertensive and vascular murmur was pointed out in his abdomen. Angiography revealed the complication of aortitis syndrome. Renal complication in eosinophilic lymphfolliculosis was reported in some cases and it was though that the disease had a clinical aspect of systemic diseases. The complication of aortitis syndrome in our case is interesting from a point of view of eosinophilic lymphfolliculosis as a systemic disease.
一名47岁男性因轻度充血性心力衰竭入院。白细胞分类计数显示嗜酸性粒细胞增多，腹股沟淋巴结活检显示淋巴滤泡发育良好，有生发中心、嗜酸性粒细胞浸润以及内皮细胞肿胀的明显增生血管。他被诊断为嗜酸性淋巴滤泡增生症（木村病）。他还患有高血压，腹部可闻及血管杂音。血管造影显示主动脉炎综合征并发症。有报道称嗜酸性淋巴滤泡增生症存在肾脏并发症，认为该疾病具有全身性疾病的临床特征。从嗜酸性淋巴滤泡增生症作为全身性疾病的角度来看，我们病例中的主动脉炎综合征并发症很有意思。
