Durak Vahide Aslihan
Department of Emergency Medicine, uludag university, Gorukle, Bursa.
J Pak Med Assoc. 2020 Sep;70(9):1640-1641. doi: 10.5455/JPMA.23225.
Kimura's disease is a very rare disorder and causes swellings and lymphadenopathy, especially in neck and axillary region. The aetiology is still unknown but allergic reactions or an alteration of immune system should be taken into consideration. Here, we report a 45-year-old Turkish male patient who presented to the Uludag University Medical Faculty Emergency Medicine Department with complaint of enlarged lymph nodes in the neck region and pruritus. His leukocyte count and eosinophil rate were found to be elevated in the emergency laboratory results. During his follow up the nodes were removed and histopathologically evaluated as Kimura's disease. In conclusion, one can say that the diagnosis of Kimura's disease can be very difficult and histopathological features play an important role. However, this diagnosis should not be underestimated in young male patients with lymph nodes in cervical area especially in the emergency department.
木村病是一种非常罕见的疾病，会导致肿胀和淋巴结病，尤其是在颈部和腋窝区域。其病因尚不清楚，但应考虑过敏反应或免疫系统改变。在此，我们报告一名45岁的土耳其男性患者，他因颈部淋巴结肿大和瘙痒症状前往乌鲁达格大学医学院急诊医学科就诊。急诊实验室检查结果显示他的白细胞计数和嗜酸性粒细胞比率升高。在其随访过程中，切除了淋巴结并进行组织病理学评估，诊断为木村病。总之，可以说木村病的诊断可能非常困难，组织病理学特征起着重要作用。然而，对于颈部有淋巴结的年轻男性患者，尤其是在急诊科，不应低估这种诊断。
