Radiological features in a patient with Kimura's disease

Singapore Med J. 1997 Mar;38(3):125-8.

Abstract

Kimura's disease is an immune mediated inflammatory disorder that usually involves the head and neck region, primarily affecting the salivary glands, adjacent muscle and regional lymph nodes. Peripheral blood eosinophilia is the norm. Clinically and radiologically, it is difficult to differentiate Kimura's disease from salivary gland malignancy, lymphoma or haemangioma. The radiological findings of a patient who presented with a left facial mass involving the left parotid gland and the adjacent muscles are discussed. We also propose that the difference in the degree of enhancement between the initial and subsequent computed tomography study done two and a half years later may be due to the development of increased fibrosis and sclerosis as the disease progresses.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Angiolymphoid Hyperplasia with Eosinophilia / diagnostic imaging*
  • Angiolymphoid Hyperplasia with Eosinophilia / pathology
  • Biopsy, Needle
  • Carotid Artery, External / diagnostic imaging
  • Chronic Disease
  • Contrast Media
  • Diagnosis, Differential
  • Gadolinium
  • Gadolinium DTPA
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Organometallic Compounds
  • Parotid Gland / diagnostic imaging
  • Parotid Gland / pathology
  • Pentetic Acid / analogs & derivatives
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Contrast Media
  • Organometallic Compounds
  • Pentetic Acid
  • Gadolinium
  • Gadolinium DTPA