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木村病:镰状细胞病患者腮腺肿块的一种罕见表现。

Kimura Disease: An Unusual Presentation of Parotid Mass in a Sickle Cell Disease Patient.

作者信息

Alanazi Farhan M, Alobaid Abdulaziz S, Alahmadi Rawan M, AlGhamdi Fareed

机构信息

Otolaryngology - Head and Neck Surgery, Prince Mohammed Medical City, Aljouf, SAU.

Otolaryngology - Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, SAU.

出版信息

Cureus. 2022 May 6;14(5):e24787. doi: 10.7759/cureus.24787. eCollection 2022 May.

Abstract

Kimura disease (KD) is a rare benign chronic inflammatory condition of unknown cause, usually affecting young men of the Asian race. It is frequently associated with nephrotic syndrome. In this report, we present an uncommon case of KD in a 40-year-old Saudi man with sickle cell disease who presented with swelling on the right side of his face. CT scan of the head and neck showed the asymmetrical appearance of both parotid glands: the right side appeared heterogeneously enlarged, with adjacent moderate-to-significant fat stranding. Histologically, hyperplastic changes in lymphoid tissue were observed. The patient underwent superficial parotidectomy and was then followed up till the healing of the surgical site with no complications.

摘要

木村病(KD)是一种病因不明的罕见良性慢性炎症性疾病,通常影响亚洲种族的年轻男性。它常与肾病综合征相关。在本报告中,我们介绍了一例罕见的木村病病例,患者为一名40岁患有镰状细胞病的沙特男性,其右侧面部出现肿胀。头颈部CT扫描显示双侧腮腺不对称:右侧腮腺不均匀增大,相邻区域有中度至重度脂肪浸润。组织学检查发现淋巴组织有增生性改变。该患者接受了腮腺浅叶切除术,术后对手术部位进行随访直至愈合,未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6886/9167805/3dfdd475eb80/cureus-0014-00000024787-i01.jpg

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