Bilateral Kimura’s disease with sinusitis and parotid gland involvement: A case report and a brief review of literature

Abstract

Kimura's disease (KD) is a rare eosinophilic inflammatory disorder of unknown etiology. It presents as a deep, subcutaneous mass in the head and neck region. The important clinicopathologic features is its frequent association with regional lymph node and/or major salivary glands involvement. We report the case of a 27 years male presented with multiple nodular swelling in the bilateral periauricular region with parotid and neck extensions associated with sinusitis. The patient also gave history of frequent sneezing, nasal obstruction, watery rhinorrhoea and heaviness of head suggestive of allergic rhinosinusitis. Multiple fine needle aspiration cytology (FNAC) gave non-specific findings. Biopsy showed typical features of Kimura's disease. The patient was treated with surgical excision of the mass on both sides followed by post-operative steroids and antihistaminics. We report the case of kimura's disease with allergic rhinosinusitis as there is no reports of its association with rhinosinusitis according to our literature search and also because of its rarity and difficulty in