Kimura’s Disease Initially Diagnosed as Malignancy then Extra-Pulmonary Tuberculosis

Abstract

Objective: To describe a rare case of Kimura’s disease initially misdiagnosed as malignancy then tuberculosis.Methods: Design: Case report Setting: Tertiary Private Hospital Patient: OneResults: A 30-year-old male with a 6-year history of gradually-enlarging right infra-auricular mass revealed an enlarged mass in the right infraauricular area and multiple cervical lymphadenopathies on physical examination. Initial fine-needle aspiration biopsy was interpreted as pleomorphic adenocarcinoma but succeeding work-ups and imaging studies led to treatmentfor tuberculosis. Subsequent biopsies finally led to the proper histopathologic diagnosis of Kimura’s disease and the patient was shifted to appropriate treatment with oral prednisone.Conclusion: Kimura’s disease is rare and may be confused with other diseases such as malignancyor tuberculosis. Histopathologic diagnosis is necessary as its treatment differs from tuberculosisand other diseases.Keywords: Kimura’s disease, parotid gland tumor, angiolymphoid hyperplasia with eosinophilia

Kimura disease as an uncommon cause of persistent hypereosinophilia: a diagnostic challenge

“…To our knowledge, there are only five published cases of KD in Filipino patients, and none of them had this type of adenopathies. The reported Filipino patients showed the following clinical findings: periauricular mass and cervical adenopathies in two patients, parotid mass and periorbital inflammation in two other patients and left upper eyelid inflammation and left lacrimal gland mass in one patient (11)(12)(13)(14)(15).…”