Key result
Excision, steroids, and cetirizine fail to prevent Kimura's disease recurrence after 10 years.
Why the study?
Kimura’s disease is a rare benign chronic inflammatory disorder requiring a high index of suspicion for diagnosis and early treatment.
Case Report (n=1)
A high index of suspicion and fine-needle aspiration cytology can aid in the early diagnosis of Kimura's disease.
Late recurrence possible after Kimura's disease treatment; leaves open optimal long-term surveillance strategies.
Kimura’s disease is a rare, benign chronic inflammatory disorder that manifests with abnormal proliferation of vascular endothelium and lymphoid tissues. Ten years back, then 15-year-old Nepali (Asian) male presented to the otorhinolaryngology department with swelling of approximately 5 cm x 6 cm on the left and 6 cm x 7 cm on the right post-auricular region. The patient consulted for cosmetic reasons. Fine-needle aspiration cytology revealed Kimura’s disease. A high index of suspicion is needed to diagnose this disease. Early diagnosis can have proper treatment and treatment of co-existing conditions related to this disease.
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Bista et al. (2023) conducted a case report in Kimura's disease (n=1). Excisional biopsy, intralesional steroids, and oral Cetirizine was evaluated on Recurrence of swelling. A 15-year-old male treated for Kimura's disease with excisional biopsy, intralesional steroids, and oral cetirizine experienced a recurrence in the right parotid and post-auricular regions after 10 years.
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