Kugimiya Aiko, Yamamoto Masayoshi, Kondo Hiroshi
Department of Radiology, Teikyo University School of Medicine, Japan.
Interv Radiol (Higashimatsuyama). 2025 Jan 28;10:e20240033. doi: 10.22575/interventionalradiology.2024-0033. eCollection 2025 Mar 28.
Kimura's disease is a lymphoproliferative disorder characterized by eosinophilic infiltration. Although it rarely causes peripheral arterial occlusive disease, its mechanism remains unclear. A 43-year-old man with a seven-year history of Kimura's disease, initially presenting with a cervical mass and treated with prednisolone, developed an ulcerative lesion from the right thumb to the middle finger. Ultrasonography revealed bilateral radial artery dilation and thrombosis. After he was diagnosed with Kimura's disease-associated vasculitis, he was treated with prostaglandin E1, warfarin, and cilostazol. Because of persistent symptoms, angioplasty was performed on the occluded radial artery. The patient's symptoms improved on the first postoperative day, with no re-occlusion observed after 2 years. Percutaneous transluminal angioplasty has been demonstrated as effective for early symptomatic relief in Kimura's disease.
木村病是一种以嗜酸性粒细胞浸润为特征的淋巴增生性疾病。虽然它很少引起外周动脉闭塞性疾病，但其发病机制仍不清楚。一名患有木村病7年的43岁男性，最初表现为颈部肿块，接受泼尼松龙治疗，随后右手拇指至中指出现溃疡性病变。超声检查显示双侧桡动脉扩张和血栓形成。在被诊断为木村病相关血管炎后，他接受了前列腺素E1、华法林和西洛他唑治疗。由于症状持续存在，对闭塞的桡动脉进行了血管成形术。患者术后第一天症状改善，2年后未观察到再闭塞。经皮腔内血管成形术已被证明对木村病的早期症状缓解有效。
