Kimura's Disease of the Distal Arm: A Case Report

Yoon,  Jong Pil; Jo,  Ki Hyun; Min,  Hak Jin; Yoon,  Ui Seoung; Seo,  Jae Seong; Kim,  Jin Soo; Baak,  Cheol Hee

doi:2008.11.2.196

Clin Shoulder Elb > Volume 11(2); 2008 > Article

Case Report

Journal of the Korean Shoulder and Elbow Society 2008;11(2):196-200.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.196 Published online December 31, 2008.

Kimura's Disease of the Distal Arm: A Case Report

Jong Pil Yoon, Ki Hyun Jo, Hak Jin Min, Ui Seoung Yoon, Jae Seong Seo, Jin Soo Kim, Cheol Hee Baak

¹Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea. osthra@paran.com
²Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea.

상완 원위부에 발생한 기무라씨 병 - 증례 보고 -

윤종필·조기현·민학진·윤의성*·서재성·김진수·박철희

서울의료원 정형외과, 서울대학교 의과대학 분당서울대학교병원 정형외과학교실

Abstract

Kimura's Disease is a very rare, chronic inflammatory disorder with an unknown etiology, and this illness is primarily seen in young Asian males. The typical clinical features consist of painless subcutaneous masses in the head or neck region, and especially in the salivary gland and submandibular region. It is often accompanied with a regional lymphadenopathy, peripheral blood eosinophilia and elevated serum IgE levels. Histologically, it is characterized by prominent germinal centers in the involved lymph nodes, together with eosinophilic infiltration in these lymph nodes. The treatment modalities for this disease are steroid therapy, radiation therapy and surgical excision. Its clinical course is of a benign nature. We report here on a case of a 28 year old man who had a soft tissue mass in his left arm. We excised this mass and the microscopy confirmed that he suffered from Kimura's disease on microscopic examination in his left distal arm.

Key Words: Arm; Kimura's Disease