A 23-year-old male patient with Kimura's disease without renal transplantation: a rare case report from Syria

Kimura's disease (KD) is a chronic, nonmalignant inflammatory disorder that primarily affects subcutaneous tissue. It is typically characterized by painless nodules in the head and neck regions, accompanied by elevated eosinophil and serum IgE levels. The purpose of this case study is to elucid...

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Bibliographic Details
Published in:Annals of medicine and surgery Vol. 86; no. 8; pp. 4927 - 4931
Main Authors: Alsmoudi, Hasan, Sleiay, Mouhammed, Almohamed, Ahmad, Hamsho, Suaad, Alhadla, Ahmad, Alqreea, Mohammed, Alakhras, Abdulkareem
Format: Journal Article
Language:English
Published: England Lippincott Williams & Wilkins 01-08-2024
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Summary:Kimura's disease (KD) is a chronic, nonmalignant inflammatory disorder that primarily affects subcutaneous tissue. It is typically characterized by painless nodules in the head and neck regions, accompanied by elevated eosinophil and serum IgE levels. The purpose of this case study is to elucidate this rare disease, particularly in the Asian region and Syria, and to explore diagnostic and therapeutic methodologies with the objective of mitigating the number of undiagnosed patients suffering from this disease. A 23-year-old male patient presented to the Ear, Nose, and Throat (ENT) Department of the hospital with symptoms that had been initiated 7 months prior. The primary symptoms were pain and swelling in the left preauricular area, followed by subsequent swelling in the right preauricular area the next day. The patient experienced severe, intermittent pain, generalized pruritus, and systemic manifestations, including fever, chills, fatigue, malaise, anorexia, and a weight loss of 20 kg over the course of seven months. A fine-needle aspiration of the left parotid gland revealed the presence of lymphocytes at various maturation stages, with no evidence of abnormal cells. A diagnosis of KD was subsequently confirmed. To our knowledge, this case represents the second documented instance of KD in Syria. Furthermore, our case is among the extremely rare instances of KD in a patient without a history of renal transplantation. Further research is essential to ascertain the actual prevalence of this condition and to identify the most effective management strategies.
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ISSN:2049-0801
2049-0801
DOI:10.1097/MS9.0000000000002341