2001 Volume 94 Issue 1 Pages 27-32
We report a case of Kimura's disease (eosinophilic granuloma of soft tissue). A 27-year-old male was admitted to our hospital with swelling due to a left preauricular lesion and cervical lymph adenopathy. Kimura's disease is a relatively rare condition and usually occurs in the soft tissue of the head and neck. It is associated with eosinophilia and an elevation of serum IgE. The main histopathological features are proliferation of lymphfolliculoid structures, granulation tissue with marked infiltration of eosinophil and mast cells, and fibrosis. Our patient was also diagnosed by biopsy of the preauricular lesion. The patient was treated with steroids only, showing remarkable improvement. However, since this disease has been reported to recur often after a long period, further follow-up is necessary.