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    Kimura's Disease of Ear


 

          

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Kimura's disease may rarely present as auricular masses.

The lesion is benign, but it may easily be mistaken for a malignant tumour. 

Angiolymphoid Hyperplasia with Eosinophilia of Ear: click here

Kimura's disease has been confused with angiolymphoid hyperplasia with eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. 

                 

Kimura's disease with bilateral auricular masses. AJNR Am J Neuroradiol.1999 Nov-Dec;20(10):1976-8

We report an unusual case of Kimura's disease. An 81-year-old Japanese woman was shown to have bilateral auricular masses that had begun to enlarge 6 years before. On CT scans, slightly high-density masses with faint contrast enhancement were seen. The masses were heterogeneous and hypointense on T1-weighted MR images, were slightly hyperintense on T2-weighted MR images, and showed heterogeneous enhancement after the administration of contrast material. Kimura's disease should be included in the differential diagnosis of bilateral auricular tumors.

Kimura's disease and angiolymphoid hyperplasia with eosinophilia: two disease entities in the same patient: case report and review of the literature.Int J Dermatol. 2006 Feb;45(2):139-45.

BACKGROUND: Much controversy has existed with regard to the relationship between Kimura's disease and angiolymphoid hyperplasia with eosinophilia. They were initially thought to represent the same disease spectrum, but it has now been widely accepted that they are two separate disease entities. To our knowledge, there have been no reports to date describing a case of both Kimura's disease and angiolymphoid hyperplasia with eosinophilia coexisting in the same patient. METHODS: We describe a patient presenting initially with a right postauricular subcutaneous swelling and subsequently developing multiple erythematous facial papules and nodules. The medical literature is reviewed. RESULTS: Clinical features of the right postauricular subcutaneous swelling and multiple erythematous facial papules/nodules suggest Kimura's disease in the former and angiolymphoid hyperplasia with eosinophilia in the latter. Histopathological examinations of these lesions helped to confirm the diagnosis of Kimura's disease and angiolymphoid hyperplasia with eosinophilia, respectively. CONCLUSIONS: Kimura's disease and angiolymphoid hyperplasia with eosinophilia can coexist in the same patient. Coexistence of the two types of lesions in one patient may also be considered evidence that Kimura's disease and angiolymphoid hyperplasia with eosinophilia form a spectrum in one disease.

Kimura's disease: case report and brief review of the literature. J Laryngol Otol.1994 Nov;108(11):1005-7.

Kimura's disease is a chronic inflammatory disease which often presents as a tumour-like swelling in the head and neck region with or without lymphadenopathy. Most cases have been described predominantly in Chinese and Japanese people. The lesion is benign, but it may easily be mistaken for a malignant tumour. Kimura's disease has been confused with angiolymphoid hyperplasia with eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. The diagnosis may be suggested by a fine needle aspirate, but is established by a biopsy. The treatment of choice is surgical removal. A case of Kimura's disease in a Caucasian male of 12 years' duration is presented together with a brief review of the literature.

Kimura's disease: an unusual cause of head and neck masses. J Otolaryngol.1994 Apr;23(2):88-91.

This article presents a case report of a patient who presented with Kimura's disease. Kimura's disease is an unusual condition with predilection to involve the head and neck. Since Kimura's disease often imitates a neoplastic or inflammatory process of the head and neck it behooves the otolaryngologist-head and neck surgeon to be able to recognize this entity.


October 2007

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Infectious Disease Online; INDEX: A-D ; INDEX: E-L ; INDEX: M-P INDEX: Q-Z ; FUNGAL DISEASE ; VIRAL DISEASE.

Neoplasms of the External Ear

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