Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature

Kimura’s disease (KD) is a rare chronic inflammatory condition of unknown aetiology. It is a benign disease that might mimic a neoplastic process. It primarily affects the head and neck region, presenting as deep subcutaneous masses, and is often accompanied by triad regional lymphadenopathy, saliva...

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Main Authors: Zahra A. Natsha, Islam A. Hamarsheh, Rawan S. Utt, Bassam Abu Alrob, Adnan A. Wahdan
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2022/5103547
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author Zahra A. Natsha
Islam A. Hamarsheh
Rawan S. Utt
Bassam Abu Alrob
Adnan A. Wahdan
author_facet Zahra A. Natsha
Islam A. Hamarsheh
Rawan S. Utt
Bassam Abu Alrob
Adnan A. Wahdan
author_sort Zahra A. Natsha
collection DOAJ
description Kimura’s disease (KD) is a rare chronic inflammatory condition of unknown aetiology. It is a benign disease that might mimic a neoplastic process. It primarily affects the head and neck region, presenting as deep subcutaneous masses, and is often accompanied by triad regional lymphadenopathy, salivary gland involvement, and high serum immunoglobulin E (IgE) levels. Here, we report the second documented case of KD in Palestine diagnosed in a 28-year-old male patient who presented with lymphadenopathy and increased serum immunoglobulin E and G (IgE and IgG) associated with intermittent abdominal pain, generalised fatigue, hepatomegaly, cardiomyopathy, reactive airway disease, peripheral vasculopathy, peripheral neuropathy, and focal segmental glomerulosclerosis. The patient was managed with steroids and an immunosuppressant (Azathioprine) with a moderate response for two years. In 2021, treatment with Mycophenolate Mofetil was initiated, which was more effective than Azathioprine.
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spelling doaj-art-baae7bea063c45cfbff7f48707abd7472025-02-03T05:57:27ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/5103547Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of LiteratureZahra A. Natsha0Islam A. Hamarsheh1Rawan S. Utt2Bassam Abu Alrob3Adnan A. Wahdan4Al-Quds University Faculty of MedicineAl-Quds University Faculty of MedicineAl-Quds University Faculty of MedicinePalestine Medical ComplexPalestine Medical ComplexKimura’s disease (KD) is a rare chronic inflammatory condition of unknown aetiology. It is a benign disease that might mimic a neoplastic process. It primarily affects the head and neck region, presenting as deep subcutaneous masses, and is often accompanied by triad regional lymphadenopathy, salivary gland involvement, and high serum immunoglobulin E (IgE) levels. Here, we report the second documented case of KD in Palestine diagnosed in a 28-year-old male patient who presented with lymphadenopathy and increased serum immunoglobulin E and G (IgE and IgG) associated with intermittent abdominal pain, generalised fatigue, hepatomegaly, cardiomyopathy, reactive airway disease, peripheral vasculopathy, peripheral neuropathy, and focal segmental glomerulosclerosis. The patient was managed with steroids and an immunosuppressant (Azathioprine) with a moderate response for two years. In 2021, treatment with Mycophenolate Mofetil was initiated, which was more effective than Azathioprine.http://dx.doi.org/10.1155/2022/5103547
spellingShingle Zahra A. Natsha
Islam A. Hamarsheh
Rawan S. Utt
Bassam Abu Alrob
Adnan A. Wahdan
Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
Case Reports in Medicine
title Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
title_full Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
title_fullStr Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
title_full_unstemmed Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
title_short Atypical Presentation of Kimura’s Disease in a Male Patient: A Case Report and Review of Literature
title_sort atypical presentation of kimura s disease in a male patient a case report and review of literature
url http://dx.doi.org/10.1155/2022/5103547
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