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Kimura 病致儿童双侧泪腺炎和中枢神经系统受累

Bilateral Dacryoadenitis and Central Nervous System Involvement in a Child With Kimura Disease.

机构信息

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery.

Department of Pathology.

出版信息

Ophthalmic Plast Reconstr Surg. 2022;38(4):e106-e108. doi: 10.1097/IOP.0000000000002150. Epub 2022 Mar 21.

Abstract

Kimura's disease (KD) is a systemic inflammatory condition characterized by lymphadenopathy and subcutaneous nodules in the head and neck region. The lesions have a distinctive histopathological pattern formed by follicular hyperplasia, eosinophilic infiltrates, fibrosis, and vessel proliferation. The disease may occur at all ages but predominates among young males with autoimmune dysfunctions. Visceral and orbital involvement is uncommon. We report a girl with KD who developed bilateral enlargement of the lacrimal glands and a lesion in the left lateral ventricle of the brain indistinguishable from a central nervous system neoplasia. A biopsy of both the lacrimal gland and the lateral ventricle was consistent with KD.

摘要

木村病(KD)是一种全身性炎症性疾病,其特征是头颈部淋巴结病和皮下结节。病变具有独特的组织病理学模式,由滤泡增生、嗜酸性粒细胞浸润、纤维化和血管增生组成。这种疾病可能发生在所有年龄段,但在伴有自身免疫功能障碍的年轻男性中更为常见。内脏和眼眶受累并不常见。我们报告了一例 KD 患者,其双侧泪腺增大,左侧侧脑室有病变,与中枢神经系统肿瘤难以区分。对泪腺和侧脑室的活检均符合 KD。

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