Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance
Kimura's disease is a rare, chronic inflammatory disorder of unknown cause. It is endemic in Asia, affecting more number of males than females, with a ratio of 3:1. The typical clinical manifestations include a triad of painless unilateral cervical lymphadenopathy or subcutaneous masses predomi...
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Wolters Kluwer Medknow Publications
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doaj-44879f099aca4ee7ad33648d443a12b02020-11-24T23:40:16ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712016-01-0133423223510.4103/0970-9371.190453Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevanceMingma SherpaRachna LamichaneyAsitava Deb RoyKimura's disease is a rare, chronic inflammatory disorder of unknown cause. It is endemic in Asia, affecting more number of males than females, with a ratio of 3:1. The typical clinical manifestations include a triad of painless unilateral cervical lymphadenopathy or subcutaneous masses predominantly in the head and neck region, blood and tissue eosinophilia, and an elevated serum immunoglobulin E (IgE) levels. Variable conditions both benign and malignant may mimic Kimura's disease both clinically and on fine needle aspirates. The confirmatory diagnosis is established only by histopathological examination. We report a case of Kimura's disease in a patient who underwent multiple investigations in view of her past history and family history of pulmonary Koch's. Fine needle aspiration cytology (FNAC) was performed thrice with consistently similar result of reactive lymphadenitis with numerous histiocytes and eosinophilia. The final diagnosis of Kimura's disease could finally be established only on histopathological examination.http://www.jcytol.org/article.asp?issn=0970-9371;year=2016;volume=33;issue=4;spage=232;epage=235;aulast=SherpaEosinophilia; fine needle aspiration cytology (FNAC); Kimura's disease; lymphadenopathy; postauricular; reactive lymphadenitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mingma Sherpa Rachna Lamichaney Asitava Deb Roy |
spellingShingle |
Mingma Sherpa Rachna Lamichaney Asitava Deb Roy Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance Journal of Cytology Eosinophilia; fine needle aspiration cytology (FNAC); Kimura's disease; lymphadenopathy; postauricular; reactive lymphadenitis |
author_facet |
Mingma Sherpa Rachna Lamichaney Asitava Deb Roy |
author_sort |
Mingma Sherpa |
title |
Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
title_short |
Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
title_full |
Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
title_fullStr |
Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
title_full_unstemmed |
Kimura's disease: A diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
title_sort |
kimura's disease: a diagnostic challenge experienced with cytology of postauricular swelling with histopathological relevance |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Cytology |
issn |
0970-9371 |
publishDate |
2016-01-01 |
description |
Kimura's disease is a rare, chronic inflammatory disorder of unknown cause. It is endemic in Asia, affecting more number of males than females, with a ratio of 3:1. The typical clinical manifestations include a triad of painless unilateral cervical lymphadenopathy or subcutaneous masses predominantly in the head and neck region, blood and tissue eosinophilia, and an elevated serum immunoglobulin E (IgE) levels. Variable conditions both benign and malignant may mimic Kimura's disease both clinically and on fine needle aspirates. The confirmatory diagnosis is established only by histopathological examination. We report a case of Kimura's disease in a patient who underwent multiple investigations in view of her past history and family history of pulmonary Koch's. Fine needle aspiration cytology (FNAC) was performed thrice with consistently similar result of reactive lymphadenitis with numerous histiocytes and eosinophilia. The final diagnosis of Kimura's disease could finally be established only on histopathological examination. |
topic |
Eosinophilia; fine needle aspiration cytology (FNAC); Kimura's disease; lymphadenopathy; postauricular; reactive lymphadenitis |
url |
http://www.jcytol.org/article.asp?issn=0970-9371;year=2016;volume=33;issue=4;spage=232;epage=235;aulast=Sherpa |
work_keys_str_mv |
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