Rahul Chaudhary and Neetu Chaudhary
International Modern Hospital, UAE
Posters & Accepted Abstracts: J Clin Exp Dermatol Res
Introduction: Kimura�s Disease (KD) is a chronic inflammatory disorder of unknown etiology mostly affecting subcutaneous tissue, lymph nodes, salivary glands, usually limiting to head and neck region. It is primarily seen in young Asian males. Microscopically, lymphoid nodules with marked infiltration of eosinophils and formation of eosinophilic microabscess are seen. Here we present a case of KD involving right parotid region presenting as alopecia overlying indurated swelling. Case Report: 24 years Asian male presented to Department of Dermatology, International Modern Hospital, Dubai with alopecia and painless swelling involving the right parotid region since 2 months. A painless indurated mass (7 cm��4 cm) with mild erythema and patchy alopecia was present on examination. Peripheral blood showed marked eosinophilia and raised IgE. Incidentally on biopsy a sero-sanguinous discharge oozed out which was negative for Gram stain, AFB stain and pus culture thus ruling out cold abscess. Histopathology showed lymphocytic nodules with eosinophilic infiltrate, prominent thick walled vessels consistent with the diagnosis of KD. Patient was put on oral and topical corticosteroids and cetirizine and is currently in remission. Discussion: KD is a chronic inflammatory disorder presenting commonly as painless lymphadenopathy or subcutaneous masses in head and neck region. Our case is unique in way that the patient presented with alopecia and accidental finding of sero-sanguinous fluid during biopsy, arousing suspicion of underlying cold abscess. Conclusion: KD can present as an indurated patchy alopecia and/or deep seated parotid abscess, therefore KD should always be considered as a differential in such presentations.
Email: rahul_bhu@yahoo.co.in
