“…The analysis showed that surgical excision alone and radiotherapy alone had higher rates of local recurrence (Relative Risk: 4.722 and 2.718 respectively), compared to a combination of surgical excision and postoperative low dose irradiation. The use of immunosuppressive agents such as azathioprine (49), cyclosporin (49)(50)(51)(52)(53)(54), tacrolimus (55,56), methotrexate (57), mycophenolate mofetil (58,59), leflunomide (60,61), and cyclophosphamide (59,62) have been reported but also with variable outcomes. Cetirizine (63), an anti-allergy, omalizumab (64), an anti-IgE therapy and mepolizumab (65), an anti-interleukin-5 have also been used to treat Kimura disease with favourable outcomes.…”