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木村病——一种独特的病症。

KIMURA'S Disease - An E[X]clusive Condition.

作者信息

Gurram Prashanthi, Chandran Saravanan, Parthasarathy Priyadarshini, Thiagarajan Magesh Karuppur, Ramakrishnan Karthik

机构信息

Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM University, Kancheepuram, Tamil Nadu, India.

出版信息

Ann Maxillofac Surg. 2019 Jan-Jun;9(1):183-187. doi: 10.4103/ams.ams_159_17.

Abstract

Kimura's disease is a rare autoimmune disease of unrecognized etiology. Due to its unspecific clinical presentation and laboratory studies, Kimura's is a diagnosis of exclusion . A systematic multidisciplinary approach is mandatory to rule out the other common causes of cervicofacial lymphadenopathy. A thorough Histopathological examination including immunohistochemical analysis along with the presence of specific biochemical markers, including raised Absolute eosinophilic count is necessary to conclude the diagnosis as Kimura's Disease. In this article we present a case of a middle aged Asian woman with cervicofacial lymphadenopathy with no associated illness. The above described protocol of clinical, radiological and histolopathological investigations was followed before establishing the final diagnosis of Kimura's. The review of literature on contemporary management and prognosis is discussed.

摘要

木村病是一种病因不明的罕见自身免疫性疾病。由于其临床表现和实验室检查缺乏特异性,木村病是一种排除性诊断。必须采用系统的多学科方法来排除其他导致头面部淋巴结病的常见原因。彻底的组织病理学检查,包括免疫组织化学分析以及特定生化标志物的存在,包括绝对嗜酸性粒细胞计数升高,对于确诊为木村病是必要的。在本文中,我们报告了一例中年亚洲女性,患有头面部淋巴结病且无相关疾病。在最终确诊木村病之前,遵循了上述临床、放射学和组织病理学检查方案。本文还讨论了当代治疗和预后的文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c24/6585217/bc7946a2df0a/AMS-9-183-g001.jpg

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