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Arch Dis Child 1997;77:153-154 ( August )

Kimura's disease: an unusual cause of cervical tumour

M J Chusid,a A L Rock,a J R Sty,b H W Oechler,c D J Bested

a Children's Hospital of Wisconsin and the Medical College of Wisconsin: Department of Pediatrics, b Department of Radiology, c Department of Pathology, d Department of Otolaryngology

Correspondence to: Dr Michael J Chusid, Department of Pediatrics, MFRC, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA.

Accepted 18 April 1997

An 11 year old Chinese boy developed a unilateral cervical mass associated with pronounced eosinophilia and a marked increase in IgE concentrations. A biopsy sample showed massive eosinophilic tissue infiltration consistent with Kimura's disease. This disorder should be suspected when the clinical triad of painless unilateral cervical adenopathy, hypereosinophilia, and hyper-IgE is present, particularly in male Asian patients.

Keywords: lymphadenopathy; eosinophilia; hyper-immunoglobulinaemia

© 1997 by Archives of Disease in Childhood


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