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木村病与嗜酸性肉芽肿性多血管炎:两种免疫介导疾病的临床与影像学重叠表现

Kimura disease and eosinophilic granulomatosis with polyangiitis: Clinical and imaging overlap of 2 immune-mediated conditions.

作者信息

Yoon Won Young, Shaar Bader Abou, Lee Alexander Chiu Wing, Holsinger Chris, Martin Beth, Chung Sharon A, Fischbein Nancy

机构信息

Department of General Surgery, London North West University Healthcare NHS Trust, London, United Kingdom.

Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.

出版信息

Radiol Case Rep. 2025 May 8;20(7):3632-3638. doi: 10.1016/j.radcr.2025.04.060. eCollection 2025 Jul.

Abstract

We present the clinical and head and neck imaging findings in an adult male patient diagnosed with both Kimura disease (KD) and eosinophilic granulomatosis with polyangiitis (EGPA). These 2 rare diseases have distinct as well as overlapping clinical features and pathophysiological mechanisms, and their coexistence created a challenging diagnostic and therapeutic scenario. This case highlights the importance of considering overlapping features in complex immune-mediated conditions to establish an accurate diagnosis and formulate an appropriate management plan.

摘要

我们报告了一名成年男性患者的临床及头颈部影像学检查结果,该患者被诊断同时患有木村病(KD)和嗜酸性肉芽肿性多血管炎(EGPA)。这两种罕见疾病具有不同但又相互重叠的临床特征和病理生理机制,它们的共存带来了具有挑战性的诊断和治疗情况。该病例强调了在复杂的免疫介导疾病中考虑重叠特征对于准确诊断和制定合适治疗方案的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/161c/12145034/aaa765d59f35/gr1.jpg

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