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木村病:一例报告。

Kimura's Disease: A Case Report.

作者信息

Akinosoglou Karolina, Tsoupra Stamatia, Rigopoulos Aggelos, Schinas Georgios, Polyzou Eleni, Akrida Ioanna, Labropoulou Vasiliki, Symeonidis Argiris, Kaiafa Georgia, Kourea Eleni

机构信息

Department of Internal Medicine and Infectious Diseases, University General Hospital of Patras, University of Patras, Patras, GRC.

Department of Internal Medicine, University General Hospital of Patras, University of Patras, Patras, GRC.

出版信息

Cureus. 2025 Aug 18;17(8):e90446. doi: 10.7759/cureus.90446. eCollection 2025 Aug.

Abstract

Kimura's disease (KD) is a rare, chronic, autoinflammatory condition of unknown etiology, typically involving lymphoid and/or extranodal tissues of the head and neck area, usually presenting with peripheral blood eosinophilia and elevated serum immunoglobulin E (IgE) levels. The clinical features of KD are often variable and nonspecific, overlapping with other hematologic conditions, leading to diagnostic challenges. We report a case of a 36-year-old female with no prior medical history who presented with bilateral cervical lymphadenopathy, nodular lesions in the scalp, and elevated IgE levels, diagnosed with KD. We present a scoping review of the literature focusing on mass-like presentations of the head and neck region, recording the demographics, the clinical manifestation, the histopathology, and imaging findings, as well as the treatment and the outcomes. This case report and literature review highlight the necessity of clinical awareness of this rare condition and emphasize the need for interdisciplinary collaboration in the diagnostic process.

摘要

木村病(KD)是一种病因不明的罕见慢性自身炎症性疾病,通常累及头颈部区域的淋巴组织和/或结外组织,常伴有外周血嗜酸性粒细胞增多和血清免疫球蛋白E(IgE)水平升高。KD的临床特征往往多变且不具特异性,与其他血液系统疾病重叠,导致诊断困难。我们报告一例36岁女性,既往无病史,表现为双侧颈部淋巴结肿大、头皮结节性病变及IgE水平升高,诊断为KD。我们对文献进行了范围综述,重点关注头颈部区域的肿块样表现,记录人口统计学资料、临床表现、组织病理学、影像学表现以及治疗方法和结果。本病例报告和文献综述强调了临床认识这种罕见疾病的必要性,并强调了在诊断过程中跨学科合作的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/421d/12444099/431b119e9702/cureus-0017-00000090446-i01.jpg

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