Ahmet URAL, Ahmet KÖYBAŞIOĞLU, Güldal YILMAZ, Nalan AKYÜREK, Ömür ATAOĞLU

Parotis bezinin Kimura hastalığı: Olgu sunumu

Kimura hastalığı KH , nedeni bilinmeyen, seyrek görülen, süregen enflamatuvar bir hastalıktır ve da- ha çok Asya’da görülür. Baş-boyun bölgesinde len- fadenopati ve ağrısız subkütan şişlikler, artmış se- rum IgE düzeyleri ve eozinofiliyle karakterizedir, ba- zı olgularda böbrek tutulumu da bildirilmiştir. Kırk al- tı yaşında erkek hastada sağ parotis yüzeyel lobun- da ağrısız kitle saptandı, süperfisyal parotidektomi yapıldı ve kitlenin histopatolojik tanısı KH olarak ra- por edildi. Yedinci ay takibinde nüks ve böbrek tutu- lumu lehine herhangi bir bulgu saptanmadı. Tükürük bezi kitlelerinin ayırıcı tanısında seyrek görülen bir durum olarak KH akılda tutulmalı ve bu hastalar ameliyat sonrası dönemde böbrek tutulumu ve nüks yönünden dikkatle takip edilmelidir

Anahtar Kelimeler:

Kimura hastalığı, parotis

Kimura's disease of parotid gland: a case report

Kimura’s disease KD is a rare, chronic inflamma- tory condition of unknown origin that is more commonly seen in Asia. Lymphadenopathy in head and neck region and subcutaneous swelling are accom- panied with increased serum IgE levels. İn some cases renal involvement is seen. A 46-year-old male patient had been operated for a painless mass in superficial lobe of right parotid gland. The histopathologic examination of the specimen yield- ed the diagnosis of KD. Kimura’s disease, even though rarely encountered, must be kept in mind in the differential diagnosis of salivary gland tumors, and KD patients should be carefully followed up for renal involvement and recurrence in the postoperative period.

Keywords:

Kimura’s disease, parotid gland,

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Penner CR, Muller S, Del Gaudio JM. Diffuse parotid swelling. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:8-11.
Khoo BP, Chan R. Kimura disease: 2 case reports and a literature review. Cutis 2002;70:57-61.
Kung IT, Gibson JB, Bannatyne PM. Kimura's disease: a clinico-pathological study of 21 cases and its distinc- tion from angiolymphoid hyperplasia with eosinophil- ia. Pathology 1984;16:39-44.
Li TJ, Chen XM, Wang SZ, Fan MW, Semba I, Kitano M. Kimura's disease: a clinicopathologic study of 54 Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:549-55.
Yamada A, Mitsuhashi K, Miyakawa Y, Kosaka K, Takehara K, Iijima M, et al. Membranous glomeru- lonephritis associated with eosinophilic lymphfollicu- losis of the skin (Kimura's disease): report of a case and review of the literature. Clin Nephrol 1982;18:211-5.
Rajka G, Winkelmann RK. Atopic dermatitis and Sezary syndrome. Arch Dermatol 1984;120:83-4.
Chun SI, Ji HG. Kimura’s disease and angiolymphoid hyperplasia with eosinophilia: clinical and histopatho- logic differences. J Am Acad Dermatol 1992;27(6 Pt 1):954-8.
Lee HG, Kim BS, Lee AY, Cho KH, Lee YS, et al. A case of Kimura’s disease with an unusual location and clin- ical manifestation. Ann Dermatol 1990;2:145-8.
Chan KM, Mok JS, Ng SK, Abdullah V. Kimura's dis- ease of the auricle. Otolaryngol Head Neck Surg 2001;124:598-9.
Armstrong WB, Allison G, Pena F, Kim JK. Kimura's disease: two case reports and a literature review. Ann Otol Rhinol Laryngol 1998;107:1066-71.

The Turkish Journal of Ear Nose and Throat-Cover

ISSN: 2602-4837
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1991
Yayıncı: İstanbul Üniversitesi

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