Kimura Disease Associated with Allergy and Remote Parasite Infection
2
조회
0
다운로드
0
인용
0
참고문헌
초록
Kimura병은 원인 불명의 만성 염증성 질환으로 아시아계 남성에서 호발하며 전형적으로 압통이 없는 두경부 종창 및 말초 호산구, IgE 증가를 동반한다. 좌경부 종창과 우연히 발견된 호산구 증가증을 주소로 내원한 8세 남아를 보고하고자 한다. 환아는 과거 음식물 알레르기가 있었으며 입원시 Cysticercosis IgG 혈청가의 두배상승이 관찰되었다. 수술로 종괴를 제거 후 호산구 증가증은 현격히 감소하였다. 본 증례는 알레르기 및 과거 기생충 감염이 Kimura병의 원인 및 유발 요인이 될 수 있음을 제시하는 바이다.
Abstract
Kimura disease is rare chronic inflammatory disorder of an unknown etiology and it has a predilection for males of Asian descent. It typically presents with non-tender subcutaneous swellings in the head and neck region, peripheral eosinophilia and an elevated immunoglobulin E level. We present here the case of 8-year-old boy with a past history of food allergy, and he developed swelling of the left neck and incidental eosinophilia. Kimura disease was diagnosed on the basis of the clinical and histological findings. The serum IgG titer of cysticercosis was twice the normal level. After surgical excision of the subcutaneous lesion, the patients eosinophilia was dramatically decreased. We suggest that allergy and remote parasite infection may be the causality or a triggering factor for Kimura disease.
참고문헌 (17)
- "Unusual granulation combined with hyperplastic changes of lymphatic tissue", 37, pp.179~80 (1948)
- "Kimura Disease:a Clinicopathologic study of 21 cases", 28, pp.505~513 (2004)
- "Polymerase chain reaction(PCR)for human herpesvirus 8 and heteroduplex PCR for clonality assessment in angiolymphoid hyperplasia with eosinophilia and Kimura s disease", 28, pp.363~367 (2001)
- "Detection of Epstein-Barr virus DNA in a patient with Kimura s disease", 39, pp.618~620 (2000)
- "Kimura disease.a review of 429 cases and four new cases", 25, pp.407~16 (1982)
- "Eosinophilic hyperplastic lymphogranuloma,comparison with Mikuliczs disease", 23, pp.699~700 (1937)
- "A case of Kimura's disease", 13, pp.243~7 (1975)
- "Kimura's disease Involving thoracic and abdominal lymph nodes in a hemo dialysis patient", 20, pp.159~162 (2005)
- "Kimura s disease with marked proliferation of HLA-DR+ CD4+ T cells in the skin,lymph node,and peripheral blood", 184, pp.145~8 (1992)
- "A case of pathophysiological study in Kimura s disease:measurement of cytokines and surface analysis of eosinophils", 81, pp.423~427 (1998)
- "IL-5 mRNA expressed in blood lymphocytes from patients with Kimura s disease and parasite infection", 47, pp.69~73 (1994)
- "Kimura's disease.Involvement of regional lymph nodes and distinction from angiolymphoid hyperplasia with eosinophilia", 12, pp.843~54 (1988)
- "Treatment of Kimura s disease: a therapeutic enigma", 112, pp.333~337 (1995)
- "Nephrotic syndrome associated with Kimura disease", 14, pp.486~488 (2000)
- "All-trans-Retinoic acid in the treatment of Kimura's disease", 71 (2002)
- "Pranlukast regulates tumour growth by attenuating IL-4 production in Kimura disease", 163, pp.416~417 (2004)
- "Cetirizine:an effective agent in Kimura's disease", 53, pp.117~118 (2005)