An Unusual Clinical Presentation of Kimura Disease Manifesting with a Typical Cephalocervical Lesion and an Atypical Subcutaneous Hip Mass Lesion

• Published in: Internal Medicine 2016, Vol.55(8), pp.1017-1020
• Main Authors: Baba, Akira, Ojiri, Hiroya, Dogru, Murat, Tanaka, Yoichi, Takahashi, Shinichi, Mogami, Takuji, Kobashi, Yuko, Yamazoe, Shinji, Nozawa, Yosuke, Ogino, Nobuhiro, Yamauchi, Hideomi, Aoyagi, Yutaka
• Format: Article
• Language: English
• Subjects: Adult; Angiolymphoid Hyperplasia with Eosinophilia - diagnostic imaging; Angiolymphoid Hyperplasia with Eosinophilia - pathology; Diagnosis, Differential; head and neck; hip; Humans; Kimura disease; Male; parotid gland; Pelvic Bones - diagnostic imaging; Pelvic Bones - pathology; radiology; Salivary Glands - pathology
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.55.6236

Kimura's disease (KD) is a rare lymphoproliferative inflammatory disorder, typically presenting as firm, painless or pruritic single or multiple subcutaneous lesions in the head and neck, especially in the parotid and submandibular regions. We herein report a case of a 39-year-old Japanese man presenting with a typical cephalocervical KD lesion around the salivary glands with a rare association with a distant subcutaneous mass at the hip. We also emphasize the radiologically and clinically important features in the differential diagnosis and management. To the best of our knowledge, this case is the first report of KD manifesting with a typical cephalocervical lesion and an atypical subcutaneous hip mass lesion.