Abstract
Kimura’s disease, common pathology in the East, responsible of chronic neck swelling is rarely reported in sub-Saharan Africa. We reported a case which was observed in the internal medicine department of Aristide Le Dantec hospital in Dakar. This was a young 15-year-old, with no particular disease history, who had recurrent non-inflammatory swelling next to the left zygomatic bone associated with itching. Biology revealed an inflammatory syndrom, eosinophilia and increased serum IgE. The histological examination of the mass biopsy concluded to Kimura disease. The corticosteroid has reduced the size of the mass within a few weeks of treatment. Kimura’s disease is unknown in our regions. His painless character and chronic evolution delay the time of diagnosis. This case proves the reality of this disease, which must find a place in the diagnosis approach of cervical swelling.
Highlights
Kimura’s disease or eosinophilic hyperplastic lymphogranuloma is a chronic inflammatory disease of unknown etiology. It is manifested by swelling of subcutaneous sitting in the cervical region; they are accompanied by satellite lymphadenopathy associated with hyper eosinophilia and elevated serum IgE [1]
Angiolymphoid hyperplasia with eosinophilia is a benign vascular proliferation associated with eosinophilic dominant inflammatory infiltrate
Local radiotherapy should be reserved for non-operable lesions, refractory recurrent, medical treatment and surgical treatment
Summary
Kimura’s disease or eosinophilic hyperplastic lymphogranuloma is a chronic inflammatory disease of unknown etiology. It is manifested by swelling of subcutaneous sitting in the cervical region; they are accompanied by satellite lymphadenopathy associated with hyper eosinophilia and elevated serum IgE [1]. The prognosis is good; no malignant transformation is observed. It was described for the first time in China in 1937. (2015) Kimura’s Disease: A Case Report and Literature Review. A. Faye et al exceptionally rare in Africa, where it has been reported only one single case in the black population [2]. We report a case of Kimura’s disease in a young Senegalese child
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