Kimura's Disease of Bilateral Upper Eyelids: A Case Report

兩側上眼瞼的Kimura氏病

康明強(Min-Chiang Kang) ； 張丞賢(Cheng-Hsien Chang) ； 蘇明揚(Min-Yang Su) ； 林勝豐(Sheng-Fung Lin) ； 楊智穎(Chih-Ying Yang) ； 蔡坤寶(Kun-Bow Tsai)

《The Kaohsiung Journal of Medical Sciences》 15卷4期 (1999/04) Pp. 239-243

https://doi.org/10.6452/KJMS.199904.0239

摘要

我們提出一個侵犯兩側上眼瞼的Kimura氏病的罕見病例。一位四十一歲的中國男性，於十三年前，在耳後、下頷處及兩側上眼瞼有多發性腫塊。先後分別經過手術切除、化學治療和鈷六十放射的治療，腫瘤仍再復發。本次住院，可以見到嗜伊紅血球症和血中免疫球蛋白E (IgE)上升。施升左側上眼瞼手術治療，以減除其視力阻礙。術中可見很多纖維帶，組織切片顯示類淋巴增生、明顯的嗜依紅血球浸潤和微血管增生。術後口服prednisolone 60mg，病人可以得到滿意的外觀和視力阻礙的解除。

並列摘要

We present a rare case of Kimura’s of bilateral upper eyelids. A 41-year-old Chinese male had multiple masses over retroauricular, submandibular regions and bilateral upper eyelids since 13 years previously. Tumor recurred after each surgical excision, chemotherapy and Co 60 radiotherapy. Eosinophilia and elevation of blood immunoglobulin E (IgE) were noted in this admission. We operated on left upper eyelid to relieve the blocking of vision. A diffuse infiltration with numerous fibrotic bands was noted. Histological section showed a lymphoid hyperplasia, remarkable infiltration of eosinophils and proliferation of capillaris. Oral prendnisolone 60mg was given postoperatively. The patient had a satisfactory appearance and a relief of visual disease

並列關鍵字

Kimura's disease