Kimura’s disease is a rare disease of unknown aetiology, commonly presenting with slow-growing head and neck subcutaneous nodules, lymphadenopathy, eosinophilia and elevated immunoglobulin E. This report describes a very rare case of a 41-year-old female, of White-British ethnicity, with a new diagnosis of Kimura’s disease of the parotid gland and associated cutaneous features. The patient was investigated for 3 years before a diagnosis of Kimura’s disease was reached. A superficial parotidectomy was undertaken and no recurrence was observed in the 20 months following surgery. Kimura’s disease is easily misdiagnosed, owing to lack of clinical awareness. This case report highlights the troubling symptomatology as well as complexities of diagnosis and management of Kimura’s disease. A high level of clinical suspicion is required, for patients of any ethnicity and sex presenting with features consistent with the disease, in order for prompt diagnosis, investigation and management to be achieved.

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Nasal bones are susceptible to trauma in view of their protruding nature. Motor vehicle accidents are the second most common cause for nasal fractures.A previously healthy 30 year old gentleman was involved in a head-on motor vehicle accident, sustaining direct trauma to the nose causing a severe and unsightly nasal deformity. The patient described himself as "looking like a pug" since the nasal bones were pushed into the midface. This was the sole injury sustained by this belted patient. The patient was managaed conservatively with closed reduction under local anesthesia and was given antibiotics as this was an open nasal fracture. This unsightly rare type of isolated nasal fracture was managed conservatively with good aesthetic and reasonably good functional results without the need of major rhinoplasty/ maxillofacial procedures. The patient is being followed up serially.