Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region
Abstract Introduction: Kimura disease, a rare chronic inflammatory disorder primarily impacting subcutaneous tissue, particularly affects young Asian males, with around 200 reported cases in India. Its etiology, linked to an abnormal allergic reaction, remains uncertain, featuring a characteristi...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2024-11-01
|
| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/59 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823858971593670656 |
|---|---|
| author | Divya Nayani Siddhartha Nyathani Rahul Kumar Pitale Ashok |
| author_facet | Divya Nayani Siddhartha Nyathani Rahul Kumar Pitale Ashok |
| author_sort | Divya Nayani |
| collection | DOAJ |
| description |
Abstract
Introduction: Kimura disease, a rare chronic inflammatory disorder primarily impacting subcutaneous tissue, particularly affects young Asian males, with around 200 reported cases in India. Its etiology, linked to an abnormal allergic reaction, remains uncertain, featuring a characteristic indolent growth pattern. The condition manifests as swelling and lesions in the head and neck region, involving subcutaneous soft tissue, major salivary glands, and lymph nodes. Eosinophilia and elevated serum immunoglobulin E levels are common, and diagnosis relies on biopsy. Given its benign nature, optimal management lacks consensus.
Case Report: Presented is a case of Kimura disease in the postauricular region, treated with surgical excision under local anesthesia. Post-operative steroid therapy resulted in an absence of recurrence and reduced eosinophilia during follow-up.
Discussion: Managing Kimura disease is challenging due to its rarity and diverse clinical presentations. Treatment options encompass systemic steroids, antihistamines, immunosuppressants, chemotherapy, radiotherapy, and surgical excision. Despite interventions, the disease often locally recurs. Our case highlights the efficacy of surgical excision under local anesthesia, coupled with post-operative steroids, in preventing recurrence and reducing eosinophilia. Ongoing research and case reports are crucial for establishing standardized protocols in Kimura disease management.
KEYWORDS: Kimura disease; postauricular region; eosinophilia; surgical excision
|
| format | Article |
| id | doaj-art-399b23856b964ec791b07814594bdf71 |
| institution | Kabale University |
| issn | 2395-2393 2395-2407 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj-art-399b23856b964ec791b07814594bdf712025-02-11T09:43:27ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-11-0132110.47210/bjohns.2024.v32i1.59Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural RegionDivya Nayani0https://orcid.org/0000-0001-7739-6822Siddhartha Nyathani 1https://orcid.org/0009-0002-1476-7045Rahul Kumar Pitale Ashok2https://orcid.org/0000-0001-8705-9141Government ENT Hospital, Osmania Medical College, KNR university of health sciences, Koti, Hyderabad, India.Government ENT Hospital, Osmania Medical College, KNR university of health sciences, Koti, Hyderabad, India.Government ENT Hospital, Osmania Medical College, KNR university of health sciences, Koti, Hyderabad, India. Abstract Introduction: Kimura disease, a rare chronic inflammatory disorder primarily impacting subcutaneous tissue, particularly affects young Asian males, with around 200 reported cases in India. Its etiology, linked to an abnormal allergic reaction, remains uncertain, featuring a characteristic indolent growth pattern. The condition manifests as swelling and lesions in the head and neck region, involving subcutaneous soft tissue, major salivary glands, and lymph nodes. Eosinophilia and elevated serum immunoglobulin E levels are common, and diagnosis relies on biopsy. Given its benign nature, optimal management lacks consensus. Case Report: Presented is a case of Kimura disease in the postauricular region, treated with surgical excision under local anesthesia. Post-operative steroid therapy resulted in an absence of recurrence and reduced eosinophilia during follow-up. Discussion: Managing Kimura disease is challenging due to its rarity and diverse clinical presentations. Treatment options encompass systemic steroids, antihistamines, immunosuppressants, chemotherapy, radiotherapy, and surgical excision. Despite interventions, the disease often locally recurs. Our case highlights the efficacy of surgical excision under local anesthesia, coupled with post-operative steroids, in preventing recurrence and reducing eosinophilia. Ongoing research and case reports are crucial for establishing standardized protocols in Kimura disease management. KEYWORDS: Kimura disease; postauricular region; eosinophilia; surgical excision https://bjohns.in/journal23/index.php/bjohns/article/view/59Kimura diseasepostauricular regioneosinophiliasurgical excision |
| spellingShingle | Divya Nayani Siddhartha Nyathani Rahul Kumar Pitale Ashok Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region Bengal Journal of Otolaryngology and Head Neck Surgery Kimura disease postauricular region eosinophilia surgical excision |
| title | Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region |
| title_full | Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region |
| title_fullStr | Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region |
| title_full_unstemmed | Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region |
| title_short | Rare Encounter Behind the Ear: Unveiling Kimura Disease in the Postaural Region |
| title_sort | rare encounter behind the ear unveiling kimura disease in the postaural region |
| topic | Kimura disease postauricular region eosinophilia surgical excision |
| url | https://bjohns.in/journal23/index.php/bjohns/article/view/59 |
| work_keys_str_mv | AT divyanayani rareencounterbehindtheearunveilingkimuradiseaseinthepostauralregion AT siddharthanyathani rareencounterbehindtheearunveilingkimuradiseaseinthepostauralregion AT rahulkumarpitaleashok rareencounterbehindtheearunveilingkimuradiseaseinthepostauralregion |