A Case of Kimura's Disease Presenting as Facial Mass and Periorbital Swelling / 대한이비인후과학회지

ABSTRACT

Kimura's disease is an uncommon chronic inflammatory disorder of unknown etiology. Clinically, it presents as solitary or multiple subcutaneous nodules, predominantly in the head and neck region, and typically in the preauricular region, forehead, and scalp. Other localizations such as lacrimo-orbital involvement and upper extremities have been reported. The soft tissue localization is often associated with regional lymphadenopathy and, occasionally, with enlargement of the major salivary gland. Orbital, eyelid, and lacrimal involvement by Kimura's disease are rare. The etiology of this disease is still unknown. It is essential to differentiate it with malignant tumor through biopsy. When Kimura's disease is confirmed, the combination of surgical excision and oral steroid appears to be effective therapeutic motality. We report Kimura's disease, along with a review of literature, presenting as facial mass and periorbital swelling in a case of a child.